Department of Medicine, Cardiovascular Institute at Allegheny Health Network, Pittsburgh, PA, USA.
Department of Medicine, The CardioVascular Center, Tufts Medical Center, 800 Washington Street, Box # 80, Boston, MA 02111, USA.
Eur Heart J Acute Cardiovasc Care. 2022 Jul 21;11(7):584-594. doi: 10.1093/ehjacc/zuac063.
Cardiogenic shock from left ventricular failure is a common presentation in the intensive care unit. In contrast, right ventricular (RV)-predominant heart failure (HF) causing shock is less well recognized. We review the epidemiology and mechanisms of RV-predominant HF and discuss pharmacologic and device-based approaches for the management of this challenging clinical problem.
左心室衰竭引起的心源性休克是重症监护病房的常见表现。相比之下，由右心室（RV）为主导的心力衰竭（HF）引起的休克则较少被认识。我们回顾了 RV 为主导的 HF 的流行病学和发病机制，并讨论了治疗这一具有挑战性的临床问题的药物和器械治疗方法。
