Keep the Right in Mind—A Focused Approach to Right Ventricle-Predominant Cardiogenic Shock

Figures

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  Figure 1. Criteria of right ventricular failure [16].

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  Figure 2. Pressure–volume loops comparing the left ventricle (transparent) and right ventricle (gray). It is visible that the right ventricle creates substantially lower pressures, among other differences. (Adopted with permission from https://derangedphysiology.com by Alex Yartsev [24]).

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  Figure 3. Pressure–volume loops of the right ventricle in a normal state (green); conditions of volume overload (dark blue); condition of pressure overload (light blue); mixed pressure and volume overload (red). Notably, while the shape of the curve changes in a very minor manner with higher volumes, the curve changes substantially and resembles that of a left ventricle when the right ventricle is required to cope with higher pressure. (Adopted with permission from De Meester et al. [31]).

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  Figure 4. Diagram of etiologies and their physiological changes, leading to right ventricular damage and subsequent cardiogenic shock.

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  Figure 5. Diagnostic features of cardiogenic shock resulting from right heart failure. The features included consist of clinical symptoms, physical findings, hemodynamic parameters and echocardiography findings [16,44,45].

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  Figure 6. Diagram of the treatment modalities and their entities available for the management of cardiogenic shock due to right-sided failure.