Role of Inotropes, Pulmonary Vasodilators, and Other Pharmacologic Interventions for Right Ventricular Dysfunction

2017 ◽  
pp. 227-233
Author(s):  
Diyar Saeed
Keyword(s):  
Right Ventricular ◽  
Ventricular Dysfunction ◽  
Right Ventricular Dysfunction ◽  
Pulmonary Vasodilators

scholarly journals Right Ventricular Dysfunction in Ventilated Patients with COVID-19 (COVID-RV)

2021 ◽  
Author(s):  
Philip McCall ◽  
Jennifer Willder ◽  
Bethany Stanley ◽  
Claudia-Martina Messow ◽  
John Allan ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Myocardial Injury ◽  
Ventricular Dysfunction ◽  
Right Ventricular Dysfunction ◽  
High Sensitivity ◽  
Dynamic Compliance ◽  
Plateau Pressure ◽  
Cardiovascular Complications ◽  
Ventilated Patients

Purpose COVID-19 is associated with cardiovascular complications, with right ventricular dysfunction (RVD) commonly reported. The combination of acute respiratory distress syndrome (ARDS), injurious invasive ventilation, micro/macro thrombi and the potential for direct myocardial injury create conditions where RVD is likely to occur. No study has prospectively explored the prevalence of RVD, and its association with mortality, in a cohort requiring mechanical ventilation. Methods Prospective, multi-centre, trans-thoracic echocardiographic, cohort study of ventilated patients with COVID-19 in Scottish intensive care units. RVD was defined as the presence of severe RV dilatation and interventricular septal flattening. To explore role of myocardial injury, high sensitivity troponin and N-terminal pro B-type natriuretic peptide (NT-proBNP) were measured in all patients. Results One hundred and twenty-one patients were recruited to COVID-RV, 118 underwent imaging and it was possible to determine the primary outcome in 112. RVD was present in seven (6.2% [95%CI; 2.5%, 12.5%]) patients. Thirty-day mortality was 85.7% in those with RVD, compared to 44.8% in those without (p=0.051). Patients with RVD were more likely to have; pulmonary thromboembolism (p<0.001), higher plateau pressure (p=0.048), lower dynamic compliance (p=0.031), higher NT-proBNP (p<0.006) and more frequent abnormal troponin (p=0.048). Abnormal NT-proBNP (OR 4.77 [1.22, 21.32], p=0.03) and abnormal Troponin (16.54 [4.98, 67.12], p<0.001) independently predicted 30-day mortality. Conclusion COVID-RV demonstrates a prevalence of RVD in ventilated patients with COVID-19 of 6.2% and is associated with a mortality of 85.7%. Association is observed between RVD and each of the aetiological domains of; ARDS, ventilation, micro/macro thrombi and myocardial injury.

Role Of ECG in Identifying Patients With Right Ventricular Dysfunction in Acute Pulmonary Embolis

CHEST Journal ◽  
2003 ◽  
Vol 124 (4) ◽  
pp. 238S
Author(s):  
Gopikrishna Punukollu ◽  
Ramesh M. Gowda ◽  
Ijaz A. Khan ◽  
Victor S. Navarro ◽  
Balendu C. Vasavada ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Ventricular Dysfunction ◽  
Right Ventricular Dysfunction

scholarly journals Mitral valve repair for dilated cardiomyopathy: predictive role of right ventricular dysfunction

2007 ◽  
Vol 28 (20) ◽  
pp. 2510-2516 ◽  
Author(s):  
M. Di Mauro ◽  
A. M. Calafiore ◽  
M. Penco ◽  
S. Romano ◽  
G. Di Giammarco ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Right Ventricular ◽  
Dilated Cardiomyopathy ◽  
Mitral Valve Repair ◽  
Ventricular Dysfunction ◽  
Right Ventricular Dysfunction ◽  
Valve Repair ◽  
Predictive Role

scholarly journals Role of ischemia and infarction in late right ventricular dysfunction after atrial repair of transposition of the great arteries

2000 ◽  
Vol 35 (6) ◽  
pp. 1661-1668 ◽  
Author(s):  
Teri Millane ◽  
Elizabeth J Bernard ◽  
Edgar Jaeggi ◽  
Robert B Howman-Giles ◽  
Roger F Uren ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Ventricular Dysfunction ◽  
Right Ventricular Dysfunction

Role of Electrocardiography in Identifying Right Ventricular Dysfunction in Acute Pulmonary Embolism

2005 ◽  
Vol 96 (3) ◽  
pp. 450-452 ◽  
Author(s):  
Gopikrishna Punukollu ◽  
Ramesh M. Gowda ◽  
Balendu C. Vasavada ◽  
Ijaz A. Khan
Keyword(s):  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Acute Pulmonary Embolism ◽  
Ventricular Dysfunction ◽  
Right Ventricular Dysfunction

Role of Sildenafil in Acute Posttransplant Right Ventricular Dysfunction: Successful Experience in 13 Consecutive Patients

2008 ◽  
Vol 40 (6) ◽  
pp. 2015-2018 ◽  
Author(s):  
L.S. De Santo ◽  
C. Mastroianni ◽  
G. Romano ◽  
C. Amarelli ◽  
C. Marra ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Ventricular Dysfunction ◽  
Right Ventricular Dysfunction
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