Optimal management of right ventricular failure requires appropriate imaging to understand underlying mechanisms, rapid optimization of volume status, and restoration of perfusion and contractility.
The prognostic significance of the right ventricle (RV) has recently been recognised in several conditions, primarily those involving the left ventricle, the lungs and their vascular bed, or the right-sided chambers. Recent advances in imaging techniques have created new opportunities to study RV anatomy, physiology and pathophysiology, and contemporary research efforts have opened the doors to new treatment possibilities. Nevertheless, the treatment of RV failure remains challenging. Optimal management should consider the anatomical and physiological particularities of the RV and include appropriate imaging techniques to understand the underlying pathophysiological mechanisms. Treatment should include rapid optimisation of volume status, restoration of perfusion pressure and improvement of myocardial contractility and rhythm, and, in case of refractory RV failure, mechanical circulatory support.
Arrigo et al. (Sat,) conducted a review in Right Ventricular Failure. Optimal management of right ventricular failure requires appropriate imaging to understand underlying mechanisms, rapid optimization of volume status, and restoration of perfusion and contractility.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: