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Updated: May 22, 2026

Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
09:22

Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet

Published on: November 4, 2015

Right ventricular dysfunction in chronic lung disease.

Todd M Kolb1, Paul M Hassoun

  • 1Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, 1830 East Monument Street, 5th Floor, Baltimore, MD 21205, USA.

Cardiology Clinics
|May 3, 2012
PubMed
Summary
This summary is machine-generated.

Right ventricular (RV) dysfunction in chronic lung disease involves RV hypertrophy due to increased afterload. RV failure is rare, with treatment focusing on improving lung function and oxygen levels.

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Last Updated: May 22, 2026

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Area of Science:

  • Cardiology
  • Pulmonology
  • Physiology

Background:

  • Chronic lung disease frequently causes right ventricular (RV) dysfunction.
  • This dysfunction stems from chronic hypoxemia and pulmonary vascular damage, increasing RV afterload.
  • RV dysfunction is characterized by hypertrophy, while contractility and cardiac output remain preserved.

Purpose of the Study:

  • To define the characteristics of RV dysfunction in chronic lung disease.
  • To clarify the incidence and clinical presentation of RV failure in this context.
  • To outline current treatment strategies for RV dysfunction secondary to lung disease.

Main Methods:

  • Review of existing literature on RV dysfunction in chronic lung disease.
  • Analysis of definitions and clinical manifestations of RV hypertrophy and failure.
  • Evaluation of treatment approaches targeting hypoxia and pulmonary mechanics.

Main Results:

  • RV hypertrophy is a common complication of chronic and advanced lung disease.
  • RV failure is infrequent, typically occurring during acute exacerbations or with comorbidities.
  • No evidence supports using pulmonary hypertension-specific therapies for this condition.

Conclusions:

  • RV dysfunction in chronic lung disease primarily involves hypertrophy, not impaired contractility.
  • Management should focus on addressing underlying lung disease, hypoxia, and gas exchange.
  • Pulmonary hypertension-specific treatments are not indicated for RV dysfunction secondary to chronic lung disease.