Right Ventricular Function and Failure, An Issue of Cardiology Clinics

1st Edition, Volume 38-2 - April 27, 2020
Editors: Jerry D. Estep, Miriam Jacob
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 0 0 0 - 3
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 0 0 1 - 0

This issue of Cardiology Clinics will cover Right Ventricular Function and Failure. Curated by Drs. Jerry D. Estep and Miriam Jacob, this issue will explore topics in the field… Read more

Right Ventricular Function and Failure, An Issue of Cardiology Clinics

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This issue of Cardiology Clinics will cover Right Ventricular Function and Failure. Curated by Drs. Jerry D. Estep and Miriam Jacob, this issue will explore topics in the field that are relevant for practicing clinicians. This issue is one of four selected each year by the series editorial board: Jamil A. Aboulhosn, David M. Shavelle, Terrence D. Welch, and Audrey H. Wu. The volume will include articles on: pathophysiology of acute and chronic right heart failure, right heart failure: a hemodynamic review, right heart failure causes and epidemiology, right heart failure and the cardiorenal syndrome, the role of multimodality imaging and RV failure, short term percutaneous mechanical circulatory support to treat acute right heart failure, defining and predicting right heart failure after LVAD placement, right heart failure after LVAD placement: medical and surgical management considerations, right heart failure in pulmonary hypertension, surgical and percutaneous interventions for chronic thromboembolic pulmonary hypertension, pulmonary hypertension and RV failure: lung transplant versus heart lung transplant, and RV failure and congenital heart disease.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
Pathophysiology of Acute and Chronic Right Heart Failure
Key points
Introduction
The right heart milieu
Acute right heart failure
Chronic right heart failure
Chronic right ventricle volume overload
Molecular changes after chronic right ventricle volume overload
Chronic right ventricle pressure overload
Summary
Right Heart Failure: A Hemodynamic Review
Key points
Introduction
Traditional hemodynamics
Right ventricular systolic function
Right ventricular afterload
Right ventricular–pulmonary artery coupling
Right ventricular coupling and right ventricular reserve
Right ventricular diastolic function
Summary
Right Heart Failure: Causes and Clinical Epidemiology
Key points
Introduction
Definition and classification
Epidemiology of right heart failure and dysfunction
Causes: acute
Causes: chronic
Myocardial disorders
Pulmonary hypertension
Congenital heart disease
Valvular heart disease
Summary
Supplementary data
Right Heart Failure and Cardiorenal Syndrome
Key points
Introduction
Definition and classification of cardiorenal syndrome
Traditional concept of impaired forward perfusion in cardiorenal syndrome
Clinical evidence of systemic venous congestion and impaired renal function
Pathophysiology of right heart failure and cardiorenal syndrome
Inflammation and cardiorenal syndrome
Effects of right ventricular volume overload
Novel diagnostic strategies for congestion and cardiorenal syndrome
Medical treatment options for right heart failure and cardiorenal syndrome
Summary
The Role of Multimodality Imaging in Right Ventricular Failure
Key points
Introduction
Right ventricle anatomy
Right ventricular function
Echocardiography
Cardiac MRI
Cardiac computed tomography
Nuclear medicine
Summary
Right Ventricular Failure After Left Ventricular Assist Device
Key points
Introduction
Definitions
Prevalence
Significance
Pathophysiology
Preoperative factors
Intraoperative factors
Left ventricular assist device/right ventricular interaction
Prediction of right ventricular failure
Prevention
Surgical strategies
Recognition and management of right ventricular failure
Emerging right ventricular failure phenotype
Future directions
Right Heart Failure After Left Ventricular Assist Device Placement: Medical and Surgical Management Considerations
Key points
Introduction
Medical strategies to manage right heart failure after durable left ventricular assist device implantation
Management of the left ventricular assist device speed control in the setting of right heart failure
Intraoperative strategies to manage right heart failure associated with left ventricular assist device therapy
Mechanical circulatory support device therapies to manage right heart failure after durable left ventricular assist device implantation
Right Ventricular Failure and Congenital Heart Disease
Key points
Introduction
Right ventricular volume overload
Right ventricular pressure overload
Right Heart Failure in Pulmonary Hypertension
Key points
Introduction and epidemiology
Pathophysiology
Presentation
Diagnostic tools and imaging
Summary
Surgical and Percutaneous Interventions for Chronic Thromboembolic Pulmonary Hypertension
Key points
Introduction
Patient assessment
Pulmonary thromboendarterectomy
Balloon pulmonary angioplasty
Summary
Pulmonary Hypertension and Right Ventricular Failure: Lung Transplant Versus Heart-Lung Transplant
Key points
Right ventricular remodeling and function
Imaging modalities
Invasive hemodynamics
Transplant in pulmonary arterial hypertension
Summary