Oakley C
Royal Postgraduate Medical School, Hammersmith Hospital, London, England.
Am J Cardiol. 1988 Jul 11;62(2):14A-19A. doi: 10.1016/s0002-9149(88)80079-1.
Failure of the right ventricle may be due to a congenital anomaly, intrinsic disease, pulmonary stenosis or pulmonary hypertension. Left ventricular failure may also lead to right ventricular failure if the heart fails totally or secondary to pulmonary hypertension, or if filling of the right ventricle is decreased due to left ventricular dilation or hypertrophy. Treatment of right ventricular failure has yielded disappointing results, except when caused by left ventricular failure that responds to therapy. Digitalis and diuretics may have more adverse than beneficial effects. In patients with both left and right ventricular failure, survival is usually less than 2 years.
右心室衰竭可能是由于先天性异常、内在疾病、肺动脉狭窄或肺动脉高压引起的。如果心脏完全衰竭或继发于肺动脉高压，或者由于左心室扩张或肥厚导致右心室充盈减少，左心室衰竭也可能导致右心室衰竭。除了由对治疗有反应的左心室衰竭引起的情况外，右心室衰竭的治疗效果一直令人失望。洋地黄和利尿剂可能弊大于利。在同时患有左心室和右心室衰竭的患者中，生存期通常不到2年。
