Right heart failure: Causes and management - UpToDate

Tags

Top Highlights

• Congenital heart disease

• ARDS is diagnosed after cardiogenic pulmonary edema and other causes of acute hypoxemic respiratory failure and bilateral infiltrates have been excluded

• Pulmonary embolism c

• Electrocardiographic findings and troponin levels may suggest RVMI

• primary RV dysfunctio

• RV myocardial infarction (RVMI)

• Myocarditis

• in the setting of increased venous return

• High-output HF should be suspected in patients with HF but well-perfused extremities,

• an increase in systemic venous return to the right heart;

• decreased LV pressure and chamber size after LVAD implantation cause interventricular septal bowing,

• which may worsen RV mechanics with decrease in RV stroke volume

• pericardial effusion or hematoma

• ●Chronic PH

• Evaluation of suspected PH includes transthoracic echocardiography, which may provide an estimate of pulmonary artery systolic pressure and guide further evaluation, as discussed separately.

• Over sustained periods of time, ventricular dilation and deterioration in systolic function are much greater in the RV than the LV in HFpEF,

• PH due to left heart disease (group 2)

• Right-sided valve disease

• Cardiomyopathies

• Constrictive pericarditis