Epidemiology and management of right ventricular-predominant heart failure and shock in the cardiac intensive care unit

Manreet K Kanwar; Kay D Everett; Gaurav Gulati; Michael I Brener; Navin K Kapur

doi:10.1093/ehjacc/zuac063

Epidemiology and management of right ventricular-predominant heart failure and shock in the cardiac intensive care unit

Eur Heart J Acute Cardiovasc Care. 2022 Jul 21;11(7):584-594. doi: 10.1093/ehjacc/zuac063.

Authors

Manreet K Kanwar¹, Kay D Everett², Gaurav Gulati², Michael I Brener³, Navin K Kapur²

Affiliations

¹ Department of Medicine, Cardiovascular Institute at Allegheny Health Network, Pittsburgh, PA, USA.
² Department of Medicine, The CardioVascular Center, Tufts Medical Center, 800 Washington Street, Box # 80, Boston, MA 02111, USA.
³ Department of Medicine, Columbia University Medical Center, New York, NY, USA.

PMID: 35767583
DOI: 10.1093/ehjacc/zuac063

Abstract

Cardiogenic shock from left ventricular failure is a common presentation in the intensive care unit. In contrast, right ventricular (RV)-predominant heart failure (HF) causing shock is less well recognized. We review the epidemiology and mechanisms of RV-predominant HF and discuss pharmacologic and device-based approaches for the management of this challenging clinical problem.

Keywords: Epidemiology; Intensive care unit; RV-predominant HF.

Publication types

Review

MeSH terms

Heart Failure* / complications
Heart Failure* / epidemiology
Heart Failure* / therapy
Heart Ventricles
Humans
Intensive Care Units
Shock, Cardiogenic / epidemiology
Shock, Cardiogenic / etiology
Shock, Cardiogenic / therapy
Ventricular Dysfunction, Right* / complications
Ventricular Dysfunction, Right* / epidemiology
Ventricular Dysfunction, Right* / therapy