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右心室为主型心力衰竭和心搏骤停在心脏重症监护病房的流行病学和处理。

Epidemiology and management of right ventricular-predominant heart failure and shock in the cardiac intensive care unit.

机构信息

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.

出版信息

Eur Heart J Acute Cardiovasc Care. 2022 Jul 21;11(7):584-594. doi: 10.1093/ehjacc/zuac063.

Abstract

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.

摘要

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。

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