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  • 05 Right Ventricular Dysfunction

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    This document defines and discusses right ventricular dysfunction. It begins by defining right ventricular dysfunction as resulting from excessive increases in preload or afterload on the right ventricle, or injury that decreases contractility. It then lists some common causes of right ventricular overload like pulmonary arterial hypertension, pulmonary embolism, hypoxia, and ischemia. Finally, it notes that even small changes in right ventricular loading conditions can significantly impact stroke volume and lead to manifestations of right ventricular dysfunction or failure.

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    This document defines and discusses right ventricular dysfunction. It begins by defining right ventricular dysfunction as resulting from excessive increases in preload or afterload on the right ventricle, or injury that decreases contractility. It then lists some common causes of right ventricular overload like pulmonary arterial hypertension, pulmonary embolism, hypoxia, and ischemia. Finally, it notes that even small changes in right ventricular loading conditions can significantly impact stroke volume and lead to manifestations of right ventricular dysfunction or failure.

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    7 views14 pages

    05 Right Ventricular Dysfunction

    Uploaded by

    fitness frix
    This document defines and discusses right ventricular dysfunction. It begins by defining right ventricular dysfunction as resulting from excessive increases in preload or afterload on the right ventricle, or injury that decreases contractility. It then lists some common causes of right ventricular overload like pulmonary arterial hypertension, pulmonary embolism, hypoxia, and ischemia. Finally, it notes that even small changes in right ventricular loading conditions can significantly impact stroke volume and lead to manifestations of right ventricular dysfunction or failure.

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    RIGHT VENTRICULAR

    DYSFUNCTION
    MURIUKI D. M.
    CONTACTS: +254 713341561
    muriuki.md@gmail.com
    OUTLINE
    • Definition of Right Ventricular Dysfunction

    • Causes of RV Overload

    • Clinical Manifestations

    • Focused Cardiac Ultrasound Features


    DEFINITION
    RV dysfunction results from excessive
    increases in preload or afterload, or
    injury that results in decreased
    contractility.

    RHF- increased RV afterload


    (decompensated PAH, pulmonary
    embolus, hypoxia, acidemia) or de-
    creased RV contractility (RV ischemia,
    myocarditis)

    Circulation. 2018;137:e578–e622. DOI:


    10.1161/CIR.0000000000000560
    Small changes in RV loading conditions
    lead to significant changes in stroke
    volume resulting in manifestations of RV
    dysfunction/ failure
    THE CURLS PROTOCOL
    CASE
    32 Y.O obese female presents with 3 days of worsening SOB
    NYHA III, Chest pain and exercise intolerance. Notable history
    of a direct flight from NYC to NBO 1 day before onset of
    symptoms.
    Has had a syncopal episode today.
    THANK YOU
    QUESTIONS?

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