The Five Pillars of Acute Right Ventricular Heart Failure Therapy: Can We Keep the Pediment in Balance?

被引：0

作者：

Petris, Antoniu Octavian ^{[1
,2
]}

Pop, Calin ^{[3
]}

Cimpoesu, Diana Carmen ^{[1
,4
]}

机构：

[1] Grigore T Popa Univ Med & Pharm, Cardiol Clin, Iasi 700115, Romania

[2] Sf Spiridon Clin Cty Emergency Hosp, Iasi 700111, Romania

[3] West Vasile Goldis Univ, Fac Med, Arad 310025, Romania

[4] Grigore T Popa Univ Med & Pharm, Emergency Dept, Iasi 700115, Romania

来源：

JOURNAL OF CLINICAL MEDICINE | 2024年 / 13卷 / 22期

关键词：

right heart failure; pulmonary embolism; cor pulmonale; pillar; ECMO; ESC GUIDELINES; MANAGEMENT; STATEMENT;

D O I：

10.3390/jcm13226949

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute right ventricular heart failure (aRHF), a long-neglected aspect of heart disease, has recently gained attention due to an improved understanding of its pathophysiology and the development of tailored therapeutic strategies. The therapeutic approach is now built on several pillars that aim to support the stable clinical condition of the patient, starting with the central pillar of etiological or specific therapy and extending to various aspects related to hemodynamic support, ventilation support, fluid optimization, and, when necessary, advanced resources such as right ventricular assist devices (e.g., extracorporeal membrane oxygenation-ECMO, Impella RP, or ProtekDuo). This five-pillar approach summarizes the different facets of contemporary treatment for aRHF, although some aspects related to their use are still being clarified.

引用

页数：9

共 26 条

[1] Animal models of right heart failure [J].

Andersen, Asger ;

van der Feen, Diederik E. ;

Andersen, Stine ;

Schultz, Jacob Gammelgaard ;

Hansmann, Georg ;

Bogaard, Harm Jan .

CARDIOVASCULAR DIAGNOSIS AND THERAPY, 2020, 10 (05) :1561-1579

[2] Diagnosis and treatment of right ventricular failure secondary to acutely increased right ventricular afterload (acute cor pulmonale): a clinical consensus statement of the Association for Acute CardioVascular Care of the European Society of Cardiology [J].

Arrigo, Mattia ;

Price, Susanna ;

Harjola, Veli-Pekka ;

Huber, Lars C. ;

Schaubroeck, Hannah A., I ;

Vieillard-Baron, Antoine ;

Mebazaa, Alexandre ;

Masip, Josep .

EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE, 2024, 13 (03) :304-312

[3] Extracorporeal Membrane Oxygenation for Pulmonary Embolism: A Systematic Review and Meta-Analysis [J].

Boey, Jonathan Jia En ;

Dhundi, Ujwal ;

Ling, Ryan Ruiyang ;

Chiew, John Keong ;

Fong, Nicole Chui-Jiet ;

Chen, Ying ;

Hobohm, Lukas ;

Nair, Priya ;

Lorusso, Roberto ;

Maclaren, Graeme ;

Ramanathan, Kollengode .

JOURNAL OF CLINICAL MEDICINE, 2024, 13 (01)

[4] Effects of SGLT2 inhibitors on right ventricular function in heart failure patients: Updated meta-analysis of the current literature [J].

Cinar, Tufan ;

Saylik, Faysal ;

Cicek, Vedat ;

Pay, Levent ;

Khachatryan, Aleksan ;

Alejandro, Joel ;

Erdem, Almina ;

Hayiroglu, Mert Ilker .

POLISH HEART JOURNAL-KARDIOLOGIA POLSKA, 2024, 82 (04) :416-422

[5] Physiologic Approach to Mechanical Ventilation in Right Ventricular Failure [J].

Disselkamp, Margaret ;

Adkins, David ;

Pandey, Subodh ;

Yataco, Angel O. Coz .

ANNALS OF THE AMERICAN THORACIC SOCIETY, 2018, 15 (03) :383-389

[6] Right ventricular myocardial infarction: pathophysiology, clinical implications and management [J].

Femia, Giuseppe ;

French, John K. ;

Juergens, Craig ;

Leung, Dominic ;

Lo, Sidney .

REVIEWS IN CARDIOVASCULAR MEDICINE, 2021, 22 (04) :1229-1240

[7] Diuretics Versus Volume Expansion in the Initial Management of Acute Intermediate High-Risk Pulmonary Embolism [J].

Ferrari, Emile ;

Sartre, Benjamin ;

Labbaoui, Mohamed ;

Heme, Nathan ;

Asarisi, Florian ;

Redjimi, Nassim ;

Fourrier, Etienne ;

Squara, Fabien ;

Bun, Sithy ;

Berkane, Nathalie ;

Breittmayer, Jean Philippe ;

Doyen, Denis ;

Moceri, Pamela .

LUNG, 2022, 200 (02) :179-185

[8] Interventional therapies for pulmonary embolism [J].

Goetzinger, Felix ;

Lauder, Lucas ;

Sharp, Andrew S. P. ;

Lang, Irene M. ;

Rosenkranz, Stephan ;

Konstantinides, Stavros ;

Edelman, Elazer R. R. ;

Boehm, Michael ;

Jaber, Wissam ;

Mahfoud, Felix .

NATURE REVIEWS CARDIOLOGY, 2023, 20 (10) :670-684

[9] A prospective international observational prevalence study on prone positioning of ARDS patients: the APRONET (ARDS Prone Position Network) study [J].

Guerin, C. ;

Beuret, P. ;

Constantin, J. M. ;

Bellani, G. ;

Garcia-Olivares, P. ;

Roca, O. ;

Meertens, J. H. ;

Azevedo Maia, P. ;

Becher, T. ;

Peterson, J. ;

Larsson, A. ;

Gurjar, M. ;

Hajjej, Z. ;

Kovari, F. ;

Assiri, A. H. ;

Mainas, E. ;

Hasan, M. S. ;

Morocho-Tutillo, D. R. ;

Baboi, L. ;

Chretien, J. M. ;

Francois, G. ;

Ayzac, L. ;

Chen, L. ;

Brochard, L. ;

Mercat, A. .

INTENSIVE CARE MEDICINE, 2018, 44 (01) :22-37

[10] Contemporary management of acute right ventricular failure: a statement from the Heart Failure Association and the Working Group on Pulmonary Circulation and Right Ventricular Function of the European Society of Cardiology [J].

Harjola, Veli-Pekka ;

Mebazaa, Alexandre ;

Celutkiene, Jelena ;

Bettex, Dominique ;

Bueno, Hector ;

Chioncel, Ovidiu ;

Crespo-Leiro, Maria G. ;

Falk, Volkmar ;

Filippatos, Gerasimos ;

Gibbs, Simon ;

Leite-Moreira, Adelino ;

Lassus, Johan ;

Masip, Josep ;

Mueller, Christian ;

Mullens, Wilfried ;

Naeije, Robert ;

Nordegraaf, Anton Vonk ;

Parissis, John ;

Riley, Jillian P. ;

Ristic, Arsen ;

Rosano, Giuseppe ;

Rudiger, Alain ;

Ruschitzka, Frank ;

Seferovic, Petar ;

Sztrymf, Benjamin ;

Vieillard-Baron, Antoine ;

Yilmaz, Mehmet Birhan ;

Konstantinides, Stavros .

EUROPEAN JOURNAL OF HEART FAILURE, 2016, 18 (03) :226-241

← 1 2 3 →