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Related Concept Videos

Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

151
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
151
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

275
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
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Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

2.2K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
2.2K
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

174
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
174
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

93
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
93
Imbalances in Cardiac Output01:26

Imbalances in Cardiac Output

2.0K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
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Updated: Nov 21, 2025

Induction and Phenotyping of Acute Right Heart Failure in a Large Animal Model of Chronic Thromboembolic Pulmonary Hypertension
07:41

Induction and Phenotyping of Acute Right Heart Failure in a Large Animal Model of Chronic Thromboembolic Pulmonary Hypertension

Published on: March 17, 2022

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[Acute right heart failure].

J Tridetti1, R Dumont1, M L Trung Nguyen1

  • 1Service de Cardiologie, CHU Liège, Belgique.

Revue Medicale De Liege
|January 14, 2021
PubMed
Summary
This summary is machine-generated.

The right ventricle is crucial for heart-lung function, and its failure causes systemic congestion and low cardiac output. Management involves supportive and causal treatments tailored by a multidisciplinary heart team.

Keywords:
Acute right heart failureCardiogenic shockHeart TeamIntensive care

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Area of Science:

  • Cardiology
  • Pulmonary Medicine
  • Critical Care Medicine

Background:

  • The right ventricle was historically viewed as a passive conduit between circulatory systems.
  • Emerging evidence highlights its active and essential role in cardiopulmonary physiology.
  • Right ventricular failure presents as systemic congestion and diminished cardiac output.

Purpose of the Study:

  • To review the pathophysiology and management of acute right heart failure.
  • To emphasize the importance of the right ventricle in cardiopulmonary interactions.
  • To discuss current therapeutic strategies and the role of multidisciplinary decision-making.

Main Methods:

  • Literature review of right ventricular function and failure.
  • Analysis of etiological factors contributing to right ventricular dysfunction.
  • Synthesis of current management principles for acute right heart failure.

Main Results:

  • Right ventricular failure stems from increased pulmonary vascular resistance or impaired contractility.
  • Factors like mechanical ventilation and volume overload can precipitate failure.
  • Effective management requires optimizing filling pressures, reducing afterload, and supporting contractility.

Conclusions:

  • Acute right heart failure necessitates a combined approach of supportive and etiology-specific treatments.
  • Therapeutic decisions are increasingly complex due to co-morbidities and evolving options.
  • A multidisciplinary heart team is essential for optimal patient management.