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right ventricular failure; right heart failure
Etiology:
- cor pulmonale
- pulmonary hypertension
- right ventricular myocardial infarction
- may be associated with inferior wall myocardial infarction [2]
- left ventricular failure
Pathology:
- diminished left ventricular preload & cardiac output
Clinical manifestations:
- jugular venous distension (elevated central venous pressure)
- clear lung fields
Management:
- push normal saline (several liters) to restore right ventricular contractility & left ventricular preload [2]
- avoid pressors until volume expansion produces pulmonary edema [2]
Related
pulmonary hypertension
right ventricular myocardial infarction (MI)
Specific
acute right ventricular failure; cor pumonale
chronic right ventricular failure; cor pumonale
cor pulmonale
General
heart failure (HF)
References
- Ibrahim BS
E-Journal of Cardiology Practice.
Vol.14,No 32 - 12 Dec 2016
https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-14/Right-ventricular-failure
- Medical Knowledge Self Assessment Program (MKSAP) 19
American College of Physicians, Philadelphia 2022