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Right ventricular failure (RVF) in the intensive care unit (ICU) is a critical condition that requires prompt and comprehensive management. The right ventricle (RV) possesses unique anatomical and physiological characteristics, making it particularly sensitive to changes in afterload and ventricular interdependence. RVF can result from various etiologies, including acute events like pulmonary embolism and chronic conditions such as pulmonary hypertension. Understanding the distinctions between acute and chronic RVF, as well as the underlying pathophysiology, is essential for effective intervention. This chapter provides an in-depth approach for assessing, diagnosing, and treating RVF in the ICU, incorporating advanced diagnostic tools, therapeutic strategies, and interdisciplinary management principles [1, 2] [Ref: Algorithm 68.1].

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Approach to Right Ventricular Failure in the ICU

  • 章节

  • 发表日期：

    2025年

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  • Shakti Bedanta Mishra,
  • Samir Samal,
  • Sagarika Panda

摘要

Right ventricular failure (RVF) in the intensive care unit (ICU) is a critical condition that requires prompt and comprehensive management. The right ventricle (RV) possesses unique anatomical and physiological characteristics, making it particularly sensitive to changes in afterload and ventricular interdependence. RVF can result from various etiologies, including acute events like pulmonary embolism and chronic conditions such as pulmonary hypertension. Understanding the distinctions between acute and chronic RVF, as well as the underlying pathophysiology, is essential for effective intervention. This chapter provides an in-depth approach for assessing, diagnosing, and treating RVF in the ICU, incorporating advanced diagnostic tools, therapeutic strategies, and interdisciplinary management principles [1, 2] [Ref: Algorithm 68.1].