0
Contemporary Reviews in Critical Care Medicine |

Acute Right Ventricular DysfunctionEchocardiography in Right Ventricular Dysfunction: Real-Time Management With Echocardiography

Sundar Krishnan, MBBS; Gregory A. Schmidt, MD, FCCP
Author and Funding Information

From the Department of Anesthesia (Dr Krishnan) and Department of Internal Medicine (Dr Schmidt), University of Iowa, Iowa City, IA.

CORRESPONDENCE TO: Gregory A. Schmidt, MD, FCCP, Department of Internal Medicine, University of Iowa, 200 Hawkins Dr, Iowa City, IA 52242; e-mail: gregory-a-schmidt@uiowa.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;147(3):835-846. doi:10.1378/chest.14-1335
Text Size: A A A
Published online

In critically ill patients, the right ventricle is susceptible to dysfunction due to increased afterload, decreased contractility, or alterations in preload. With the increased use of point-of-care ultrasonography and a decline in the use of pulmonary artery catheters, echocardiography can be the ideal tool for evaluation and to guide hemodynamic and respiratory therapy. We review the epidemiology of right ventricular failure in critically ill patients; echocardiographic parameters for evaluating the right ventricle; and the impact of mechanical ventilation, fluid therapy, and vasoactive infusions on the right ventricle. Finally, we summarize the principles of management in the context of right ventricular dysfunction and provide recommendations for echocardiography-guided management.

Figures in this Article

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

Video 1.

TEE me 4c 2d normal RV

Video 2.

TEE me RV I-O 2d normal RV

Video 3.

TEE Asc Ao sax 2d

Video 4.

TEE tg sax normal RV

Video 5.

TEE TG RV I-O 2d

Video 6.

TTE plax 2d normal RV

Video 7.

TE psax 2d normal RV

Video 8.

TTE ap4c 2d normal RV

Video 9.

TTE Subcostal 4c normal

Video 10.

TTE plax 2d RV dil

Video 11.

TTE subc4 RV dil

Video 12.

TEE me4c 2d RV dil

Video 13.

TTE Ap4c RV dil

Video 14.

TEE tgsax 2d RV dil

Video 15.

TTE psax 2d RV dil

Video 16.

TEE me4c cd mild TR

Video 17.

TEE me4c cd sev TR

Video 18.

TEE me AoV sax cd sev TR

Video 19.

TTE Ap 4c cd sev TR

Video 20.

TTE subc IVC dilated

Video 21.

TTE McConnellsSign ap4c 2d

Video 22.

TEE me4c 2d LVAD RV dil sucked down LV

Video 23.

TEE me4c 2d LVAD RV improved after LVAD speed change

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
Prognostic Value of Global Myocardial Performance Indices in Acute Myocardial Infarction*: Comparison to Measures of Systolic and Diastolic Left Ventricular Function
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543