Managing right ventricular failure in the setting of pulmonary embolism.

IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Sharmeen Sorathia, Anibelky Almanzar, Abhishek Bhandiwad, Phoo Pwint Nandar
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引用次数: 0

Abstract

Pulmonary embolism (PE) has a significant impact on right-sided heart function. Clinical presentation can range from no involvement of the right ventricle to right ventricular dysfunction, cardiogenic shock, and even cardiac arrest. The authors explore the pathophysiology of PE-induced right ventricular failure, emphasizing the mechanisms by which PE contributes to dysfunction, current diagnostic tools for risk stratification, and the importance of timely diagnosis. The primary focus is on strategies for managing right ventricular failure secondary to PE, including medical, percutaneous interventional, and surgical options. Recent advances in the field are also noted, including emerging therapies and evolving treatment algorithms.

肺栓塞后右心室衰竭的处理。
肺栓塞(PE)对右侧心功能有显著影响。临床表现可以从不累及右心室到右心室功能障碍、心源性休克,甚至心脏骤停。作者探讨了肺动脉栓塞引起的右心衰的病理生理学,强调了肺动脉栓塞导致功能障碍的机制,目前的风险分层诊断工具,以及及时诊断的重要性。主要的焦点是处理PE继发性右心室衰竭的策略,包括药物、经皮介入治疗和手术选择。还注意到该领域的最新进展,包括新兴疗法和不断发展的治疗算法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Cleveland Clinic Journal of Medicine
Cleveland Clinic Journal of Medicine 医学-医学:内科
CiteScore
3.80
自引率
0.00%
发文量
109
审稿时长
6-12 weeks
期刊介绍: The mission of Cleveland Clinic Journal of Medicine (CCJM) is to provide its readers with up-to-date, practical, clinical information relevant to internal medicine, cardiology, and related fields. Consistent with this mission, CCJM focuses on timely review articles and other content that has a continuing-education orientation rather than on original research or case reports. CCJM authors, drawn from Cleveland Clinic and other top medical institutions throughout the world, are asked to identify new findings that are changing the practice of medicine and to advise readers how to apply them in daily patient care. Authors are chosen for their experience, acquired through caring for patients, teaching other physicians, and researching clinical questions.
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