Article (Scientific journals)
L’insuffisance cardiaque droite aiguë.
TRIDETTI, Julien; Dumont, Romain; NGUYEN TRUNG, Mai-Linh et al.
2021In Revue Médicale de Liège, 76 (1), p. 23-30
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Keywords :
Critical Care; Heart Failure/diagnosis/therapy; Heart Ventricles; Humans; Respiration, Artificial; Ventricular Dysfunction, Right/etiology/therapy; Acute right heart failure; Cardiogenic shock; Heart Team; Intensive care
Abstract :
[en] Even though, it has long been considered as a passive channel allowing communication between the systemic and pulmonary circulations, it is now clearly established that the right ventricle plays an essential role in cardio-pulmonary couple physiology. Its failure results in a clinical presentation that reflects the systemic congestion and reduced cardiac output. It is the consequence of two pathological situations frequently encountered in intensive care including pulmonary vascular resistance increase and right ventricle contraction alteration. Mechanical ventilation, certain drugs and volume overload can also participate. The management of the acute right heart failure is based on the combination of supportive treatment and causal treatment, specific to the etiology. Supportive therapy aims to optimize filling pressures, reduce afterload and support cardiac contractibility. With the growing number of therapeutic options used according to co-morbidities, decision-making by a multidisciplinary heart team seems essential.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
TRIDETTI, Julien ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de cardiologie
Dumont, Romain ;  Université de Liège - ULiège > Département de Psychologie > Psycho. de la personnalité et des différences individuelles
NGUYEN TRUNG, Mai-Linh  ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de cardiologie
ANCION, Arnaud  ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Insuffisance cardiaque - Transplantation
DULGHERU, Raluca Elena ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Clinique des valvulopathies - Echocardiographies - Imagerie
Hans, Grégory ;  Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
AMABILI, Philippe ;  Centre Hospitalier Universitaire de Liège - CHU > Département d'Anesthésie et réanimation > Service d'anesthésie - réanimation
Jacquet, O.
Lancellotti, Patrizio  ;  Université de Liège - ULiège > Département des sciences cliniques > Cardiologie - Pathologie spéciale et réhabilitation
Language :
French
Title :
L’insuffisance cardiaque droite aiguë.
Alternative titles :
[en] Acute right heart failure
Publication date :
2021
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Volume :
76
Issue :
1
Pages :
23-30
Peer reviewed :
Peer reviewed
Available on ORBi :
since 02 September 2021

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