急性右心衰竭的诊断和治疗进展。

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiology in Review Pub Date : 2024-11-01 Epub Date: 2023-02-27 DOI:10.1097/CRD.0000000000000538
Syed Adeel Ahsan, Rachel Laird, Caroline Dooley, Sara Akbar, James Sweeney, Suguru Ohira, Masashi Kai, Avi Levine, Alan L Gass, William H Frishman, Wilbert S Aronow, Gregg M Lanier
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引用次数: 0

摘要

右心室(RV)功能障碍和由此产生的急性右心衰竭(ARHF)是一个迅速增长的兴趣领域,人们越来越认识到它对心力衰竭发病率和死亡率的贡献。近年来,对ARHF病理生理学的理解取得了显著进展,可以广泛描述为与RV后负荷、收缩力、预负荷或左心室功能障碍的急性变化相关的RV功能障碍。有几种诊断性临床体征和症状以及影像学和血液动力学评估可以深入了解RV功能障碍的程度。医疗管理是针对不同的病因进行的,在严重或终末期功能障碍的情况下,可以使用机械循环支持。在这篇综述中,我们描述了ARHF的病理生理学,如何通过临床体征、症状和影像学发现来确定其诊断,并概述了医疗和机械治疗的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Update on the Diagnosis and Management of Acute Right Heart Failure.

Right ventricular (RV) dysfunction and resultant acute right heart failure (ARHF) is a rapidly growing field of interest, driven by increasing appreciation of its contribution to heart failure morbidity and mortality. Understanding of ARHF pathophysiology has advanced dramatically over recent years and can be broadly described as RV dysfunction related to acute changes in RV afterload, contractility, preload, or left ventricular dysfunction. There are several diagnostic clinical signs and symptoms as well as imaging and hemodynamic assessments that can provide insight into the degree of RV dysfunction. Medical management is tailored to the different causative pathologies, and in cases of severe or end-stage dysfunction, mechanical circulatory support can be utilized. In this review, we describe the pathophysiology of ARHF, how its diagnosis is established by clinical signs and symptoms and imaging findings, and provide an overview of treatment options, both medical and mechanical.

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来源期刊
Cardiology in Review
Cardiology in Review CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
4.60
自引率
0.00%
发文量
76
审稿时长
>12 weeks
期刊介绍: The mission of Cardiology in Review is to publish reviews on topics of current interest in cardiology that will foster increased understanding of the pathogenesis, diagnosis, clinical course, prevention, and treatment of cardiovascular disorders. Articles of the highest quality are written by authorities in the field and published promptly in a readable format with visual appeal
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