Rigolin V H, Robiolio P A, Wilson J S, Harrison J K, Bashore T M
Duke University Medical Center, Durham, NC 27710, USA.
Cathet Cardiovasc Diagn. 1995 May;35(1):18-28. doi: 10.1002/ccd.1810350105.
Historically, the right heart was viewed as less important than the left heart in the maintenance of normal overall hemodynamic performance. However, there is now considerable evidence that emphasizes the significance of intact right ventricular (RV) function. The RV's anatomy and physiology are reviewed in order to provide insight into how changes in volume can be accommodated within a low-pressure environment and how this contributes to hemodynamic stability. The interdependent relationship between the right and left ventricles is also explored. The contribution of RV performance to overall hemodynamics is best exemplified when the RV becomes diseased. RV infarction, atrial septal defect, and cor pulmonale are used as examples to illustrate the dramatic sequelae associated with RV dysfunction, as well as to identify the RV's specific adaptive mechanisms.
从历史上看，在维持正常的整体血流动力学表现方面，右心被认为不如左心重要。然而，现在有大量证据强调了完整的右心室（RV）功能的重要性。本文回顾了右心室的解剖学和生理学，以便深入了解在低压环境下如何适应容量变化，以及这如何有助于血流动力学稳定。还探讨了左右心室之间的相互依存关系。当右心室患病时，右心室功能对整体血流动力学的贡献最为明显。以右心室梗死、房间隔缺损和肺心病为例，来说明与右心室功能障碍相关的严重后果，以及确定右心室的特定适应机制。
