Acute Right Ventricular Dysfunction in Intensive Care Unit

Juan C. Grignola, Enric Domingo

Research output: Contribution to journalReview articleResearchpeer-review

14 Citations (Scopus)

Abstract

© 2017 Juan C. Grignola and Enric Domingo. The role of the left ventricle in ICU patients with circulatory shock has long been considered. However, acute right ventricle (RV) dysfunction causes and aggravates many common critical diseases (acute respiratory distress syndrome, pulmonary embolism, acute myocardial infarction, and postoperative cardiac surgery). Several supportive therapies, including mechanical ventilation and fluid management, can make RV dysfunction worse, potentially exacerbating shock. We briefly review the epidemiology, pathophysiology, diagnosis, and recommendations to guide management of acute RV dysfunction in ICU patients. Our aim is to clarify the complex effects of mechanical ventilation, fluid therapy, vasoactive drug infusions, and other therapies to resuscitate the critical patient optimally.
Original languageEnglish
Article number8217105
JournalBioMed Research International
Volume2017
DOIs
Publication statusPublished - 1 Jan 2017

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