Menu Expand
Faces of Right Ventricular Failure, An Issue of Cardiology Clinics - E-Book

Faces of Right Ventricular Failure, An Issue of Cardiology Clinics - E-Book

James A. Goldstein | Jonathan D. Rich

(2012)

Additional Information

Book Details

Abstract

Although heart failure typically begins with the left side of the heart, it is also important for cardiologists to understand right-sided heart failure, which is the inability of the right side of the heart to adequately pump venous blood into the pulmonary circulation. Right heart failure causes a back-up of fluid in the body, resulting in swelling and edema. This issue covers the normal right ventricle (RV), imaging of the RV, RV failure in a variety of settings, and tratmen tof RV failure, including interventions.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Cardiology Clinics i
Copyright Page ii
Table of Contents v
Contributors iii
CARDIOLOGY CLINICS viii
Foreword ix
Preface: Faces of Right Ventricular Failure xi
Chapter 1. Anatomy and Physiology of the Right Ventricle 167
RV ANATOMY 167
VENTRICULAR INTERACTION IN THE INTACT CIRCULATION 171
REFERENCES 183
Chapter 2. Imaging of the Right Ventricle 189
CHEST RADIOGRAPHY 189
ECHOCARDIOGRAPHY 189
NUCLEAR IMAGING 196
INVASIVE ANGIOGRAPHY 197
COMPUTED TOMOGRAPHY 197
MAGNETIC RESONANCE 198
SUMMARY 200
REFERENCES 200
Chapter 3. Right Ventricular Performance in Congenital Heart Disease: A Physiologic and Pathophysiologic Perspective 205
PATHOPHYSIOLOGY: AN OVERVIEW 205
PATHOPHYSIOLOGY: NONRESTRICTIVE HEMODYNAMICS AND SHUNT PHYSIOLOGY 206
PATHOPHYSIOLOGY: NONRESTRICTIVE HEMODYNAMICS AND SHUNT PHYSIOLOGY “ASD 206
PATHOPHYSIOLOGY: NONRESTRICTIVE HEMODYNAMICS AND SHUNT PHYSIOLOGY 207
PATHOPHYSIOLOGY: THE FETAL CARDIOVASCULAR SYSTEM 209
PATHOPHYSIOLOGY: PRE-TRICUSPID VERSUS POST-TRICUSPID DEFECTS 210
PATHOPHYSIOLOGY: TIMING OF THE HEMODYNAMIC INSULT 213
PATHOPHYSIOLOGY: THE POSTOPERATIVE PULMONARY VALVE 213
PATHOPHYSIOLOGY: LEFT VENTRICULAR PRESSURE AND RIGHT VENTRICULAR PERFORMANCE 214
SUMMARY 216
REFERENCES 216
Chapter 4. Acute Right Ventricular Infarction 219
PATTERNS OF CORONARY COMPROMISE RESULTING IN RVI 219
RV MECHANICS AND OXYGEN SUPPLYDEMAND 220
EFFECTS OF ISCHEMIA ON RV SYSTOLIC AND DIASTOLIC FUNCTION 221
DETERMINANTS OF RV PERFORMANCE IN SEVERE RVI 221
NATURAL HISTORY OF ISCHEMIC RV DYSFUNCTION 223
EFFECTS OF REPERFUSION ON ISCHEMIC RV DYSFUNCTION 224
RHYTHM DISORDERS AND REFLEXES ASSOCIATED WITH RVI 225
CLINICAL PRESENTATIONS AND EVALUATION 226
NONINVASIVE AND HEMODYNAMIC EVALUATION 226
DIFFERENTIAL DIAGNOSIS OF RVI 227
THERAPY 228
SUMMARY 229
REFERENCES 230
Chapter 5. Right Ventricular Responses to Massive and Submassive Pulmonary Embolism 233
CLINICAL CASE 233
EPIDEMIOLOGY 233
RISK FACTORS 234
CLASSIFICATIONS OF ACUTE PE 234
PATHOPHYSIOLOGY 234
DIAGNOSTIC APPROACHES 235
MANAGEMENT 237
SUMMARY 239
CLINICAL CASE (CONTINUED) 239
REFERENCES 239
Chapter 6. Right Ventricular Dysfunction in Chronic Lung Disease 243
NATURE OF THE PROBLEM 243
PATHOPHYSIOLOGY 244
CLINICAL EVALUATION 246
THERAPEUTIC OPTIONS 248
CLINICAL OUTCOMES 251
COMPLICATIONS AND CONCERNS 252
SUMMARY 252
REFERENCES 252
Chapter 7. Right Ventricular Adaptation and Maladaptation in Chronic Pulmonary Arterial Hypertension 257
CHARACTERISTICS OF THE NORMAL RIGHT VENTRICLE 257
SUMMARY 267
REFERENCES 267
Chapter 8. Right Ventricular Performance in Chronic Congestive Heart Failure 271
RIGHT VENTRICULAR STRUCTURE AND PHYSIOLOGY 272
PATHOPHYSIOLOGY OF RIGHT VENTRICULAR FAILURE 273
CLINICAL SIGNIFICANCE OF RIGHT VENTRICULAR FAILURE 275
EVALUATION OF RIGHT VENTRICULAR FUNCTION AND RIGHT VENTRICULAR FAILURE 275
MANAGEMENT OF CHRONIC RIGHT VENTRICULAR FAILURE 278
SUMMARY 280
REFERENCES 280
Chapter 9. Right Ventricular Failure After Cardiac Surgery 283
MONITORING PATIENTS WITH THE POTENTIAL FOR RV FAILURE 285
OPERATIVE STRATEGY: CONSIDERATIONS FOR OPTIMIZING RV FUNCTION 285
EMERGENCE FROM ANESTHESIA AND VENTILATORY WEANING 287
RV CIRCULATORY SUPPORT 288
SUMMARY 288
REFERENCES 288
Chapter 10. Right Ventricular Failure in Patients with Left Ventricular Assist Devices 291
EPIDEMIOLOGY 292
CLINICAL PREDICTORS OF POST-LVAD RV FAILURE 292
RV PHYSIOLOGY AND PATHOPHYSIOLOGY AFTER LVAD IMPLANT 294
MANAGEMENT 297
SUMMARY AND FUTURE DIRECTIONS 299
REFERENCES 300
Chapter 11. Percutaneous Mechanical Support for the Failing Right Heart 303
CLINICAL SCENARIOS REQUIRING RV MECHANICAL SUPPORT 303
SUMMARY 308
REFERENCES 309
Index 311