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Acute right ventricular dysfunction: real-time management with echocardiography.

Publication ,  Journal Article
Krishnan, S; Schmidt, GA
Published in: Chest
March 2015

In critically ill patients, the right ventricle is susceptible to dysfunction due to increased afterload, decreased contractility, or alterations in preload. With the increased use of point-of-care ultrasonography and a decline in the use of pulmonary artery catheters, echocardiography can be the ideal tool for evaluation and to guide hemodynamic and respiratory therapy. We review the epidemiology of right ventricular failure in critically ill patients; echocardiographic parameters for evaluating the right ventricle; and the impact of mechanical ventilation, fluid therapy, and vasoactive infusions on the right ventricle. Finally, we summarize the principles of management in the context of right ventricular dysfunction and provide recommendations for echocardiography-guided management.

Duke Scholars

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Published In

Chest

DOI

EISSN

1931-3543

Publication Date

March 2015

Volume

147

Issue

3

Start / End Page

835 / 846

Location

United States

Related Subject Headings

  • Ventricular Dysfunction, Right
  • Respiratory System
  • Respiration, Artificial
  • Prevalence
  • Humans
  • Heart Ventricles
  • Fluid Therapy
  • Echocardiography
  • Critical Illness
  • Acute Disease
 

Citation

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Krishnan, S., & Schmidt, G. A. (2015). Acute right ventricular dysfunction: real-time management with echocardiography. Chest, 147(3), 835–846. https://doi.org/10.1378/chest.14-1335
Krishnan, Sundar, and Gregory A. Schmidt. “Acute right ventricular dysfunction: real-time management with echocardiography.Chest 147, no. 3 (March 2015): 835–46. https://doi.org/10.1378/chest.14-1335.
Krishnan S, Schmidt GA. Acute right ventricular dysfunction: real-time management with echocardiography. Chest. 2015 Mar;147(3):835–46.
Krishnan, Sundar, and Gregory A. Schmidt. “Acute right ventricular dysfunction: real-time management with echocardiography.Chest, vol. 147, no. 3, Mar. 2015, pp. 835–46. Pubmed, doi:10.1378/chest.14-1335.
Krishnan S, Schmidt GA. Acute right ventricular dysfunction: real-time management with echocardiography. Chest. 2015 Mar;147(3):835–846.

Published In

Chest

DOI

EISSN

1931-3543

Publication Date

March 2015

Volume

147

Issue

3

Start / End Page

835 / 846

Location

United States

Related Subject Headings

  • Ventricular Dysfunction, Right
  • Respiratory System
  • Respiration, Artificial
  • Prevalence
  • Humans
  • Heart Ventricles
  • Fluid Therapy
  • Echocardiography
  • Critical Illness
  • Acute Disease