A standardized definition for right ventricular failure in cardiac surgery patients

ESC Heart Failure

André Y. Denault¹  Louise Y. Sun²  Marc Ruel³  Alex Nantsios³  Habib Jabagi⁴  Lisa M. Mielniczuk⁵ 

[1]Department of Anesthesiology and Critical Care Division Montreal Heart Institute and Université de Montréal Montreal QC Canada

[2]Division of Cardiac Anesthesiology University of Ottawa Heart Institute Room H‐2206, 40 Ruskin Street Ottawa ON K1Y 4W7 Canada

[3]Division of Cardiac Surgery University of Ottawa Heart Institute Ottawa ON Canada

[4]Division of Cardiac Surgery Valley Health System Ridgewood NJ USA

[5]Division of Cardiology University of Ottawa Heart Institute Ottawa ON Canada

关键词: Right ventricular failure;    Cardiac surgery;    Perioperative care;    Intensive cardiac care unit;   

DOI  :  10.1002/ehf2.13870

来源: DOAJ

【 摘 要 】

Abstract Right ventricular failure (RVF) is a significant cause of mortality and morbidity after cardiac surgery. Despite its prognostic importance, RVF remains under investigated and without a universally accepted definition in the perioperative setting. We foresee that the provision of a standardized perioperative definition for RVF based on practical and objective criteria will help to improve quality of care through early detection and facilitate the generalization of RVF research to advance this field. This article provides an overview of RVF aetiology, pathophysiology, current diagnostic modalities, as well as a summary of existing RVF definitions. This is followed by our proposal for a standardized definition of perioperative RVF, one that captures RV structural and functional abnormalities through a multimodal approach based on anatomical, echocardiographic, and haemodynamic criteria that are readily available in the perioperative setting (Central Image).

【 授权许可】

Unknown