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牢记右心——右心室为主型心源性休克的聚焦治疗方法

Keep the Right in Mind-A Focused Approach to Right Ventricle-Predominant Cardiogenic Shock.

作者信息

Copeland Viana Jacquline, Fardman Alexander, Furer Ariel

机构信息

Leviev Heart Center, Sheba Medical Center, Ramat-Gan, Israel Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.

Department of Military Medicine, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem 91031, Israel.

出版信息

Life (Basel). 2023 Jan 30;13(2):379. doi: 10.3390/life13020379.

Abstract

Cardiogenic shock (CS) remains a highly lethal condition despite many efforts and new interventions. Patients presenting with a rapid onset of hemodynamic instability and subsequent collapse require prompt and appropriate multimodality treatment. Multiple etiologies can lead to heart failure and subsequent shock. As the case prevalence of heart failure increases worldwide, it is of great importance to explore all manners and protocols of presentation and treatment present. With research primarily focusing on CS due to cardiac left-sided pathology, few assessments of right-sided pathology and the subsequent clinical state and treatment have been conducted. This review aims to present an in-depth assessment of the currently available literature, assessing the pathophysiology, presentation and management of CS patients due to right heart failure.

摘要

尽管付出了诸多努力并采取了新的干预措施,心源性休克(CS)仍然是一种致死率很高的病症。出现血流动力学不稳定并随后发生衰竭的患者需要迅速且恰当的多模式治疗。多种病因可导致心力衰竭及随后的休克。随着全球心力衰竭病例患病率的增加,探索所有呈现方式和治疗方案至关重要。由于研究主要集中在因心脏左侧病变导致的CS,很少有人对右侧病变及其随后的临床状态和治疗进行评估。本综述旨在对现有文献进行深入评估,探讨因右心衰竭导致的CS患者的病理生理学、临床表现及治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8dc/9965084/ee6cca569ec3/life-13-00379-g001.jpg

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