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Right ventricular failure management.
Curr Opin Cardiol. 2018 Dec 19;:
Authors: Bakar SN, Jia S, Smith SJ
Abstract
PURPOSE OF REVIEW: Review recent advances in the diagnosis and management of right ventricular (RV) failure.
RECENT FINDINGS: Temporary and durable device-based management of RV failure has emerging applications.
SUMMARY: Research advances and clinical management in RV failure have been limited by a lack of consensus on a universal definition. Echocardiographic and cardiac MRI-based predictors of RV failure are imperfect. Combinations of hemodynamic and imaging variables may have better predictive value. Loading conditions and ventriculo-arterial coupling play important roles in RV function. The current treatment approach to RV failure includes a combination of inotropy and vasodilatation but lacks conclusive evidence. Emerging biochemical and molecular targets hold promise but have yet to be proven in human studies.
PMID: 30575646 [PubMed - as supplied by publisher]