Garg Ashish, Vignesh C, Singh Vinod Kumar, Ray Sumit
Department of Critical Care and Emergency Medicine, Sir Ganga Ram Hospital, New Delhi, India.
Indian J Crit Care Med. 2014 Jan;18(1):40-2. doi: 10.4103/0972-5229.125436.
Acute right heart syndrome is a common occurrence in intensive care units and is associated with a poor prognosis. There is lack of understanding of the involved pathophysiology, standard diagnostic protocols and treatment guidelines. Management goals include ensuring adequate right ventricle (RV) filling, maximizing RV contraction and reducing RV afterload. We describe a 39-year-old female with acute decompensated right heart failure secondary to multiple causes. She was managed with inhaled nitric oxide. Her condition improved, which was evident by a decrease in her pulmonary artery systolic pressure on serial echocardiography, decreased requirement of vasopressors and successful weaning from the ventilator.
急性右心综合征在重症监护病房很常见，且预后较差。目前对其相关病理生理学、标准诊断方案及治疗指南缺乏了解。治疗目标包括确保右心室（RV）充分充盈、使RV收缩最大化以及降低RV后负荷。我们描述了一名39岁因多种原因继发急性失代偿性右心衰竭的女性。她接受了吸入一氧化氮治疗。她的病情有所改善，这在系列超声心动图检查中表现为肺动脉收缩压降低、血管升压药需求减少以及成功脱机。
