NYMC Faculty Publications

An Update on the Diagnosis and Management of Acute Right Heart Failure

Author Type(s)

Faculty

DOI

10.1097/CRD.0000000000000538

Journal Title

Cardiology in Review

First Page

499

Last Page

506

Document Type

Article

Publication Date

11-1-2024

Department

Surgery

Second Department

Medicine

Keywords

acute right heart failure, mechanical circulatory support, pulmonary embolism, pulmonary hypertension, right ventricle

Disciplines

Medicine and Health Sciences

Abstract

Right ventricular (RV) dysfunction and resultant acute right heart failure (ARHF) is a rapidly growing field of interest, driven by increasing appreciation of its contribution to heart failure morbidity and mortality. Understanding of ARHF pathophysiology has advanced dramatically over recent years and can be broadly described as RV dysfunction related to acute changes in RV afterload, contractility, preload, or left ventricular dysfunction. There are several diagnostic clinical signs and symptoms as well as imaging and hemodynamic assessments that can provide insight into the degree of RV dysfunction. Medical management is tailored to the different causative pathologies, and in cases of severe or end-stage dysfunction, mechanical circulatory support can be utilized. In this review, we describe the pathophysiology of ARHF, how its diagnosis is established by clinical signs and symptoms and imaging findings, and provide an overview of treatment options, both medical and mechanical.

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