SCCM Resource Library-Management of Right Heart Failure and Pulmonary Arterial Hypertension in the ICU

Video Transcription

Video Summary

In this presentation, the speaker discusses the management of right heart failure and pulmonary hypertension in the ICU. The speaker first focuses on the anatomy and physiology of the right ventricle, emphasizing its differences from the left ventricle. The function of the right ventricle is affected by factors such as preload, afterload, and contractility. The speaker then explains the definitions and classifications of pulmonary hypertension, highlighting the hemodynamic criteria for diagnosis. The pathogenic mechanisms of pulmonary hypertension are also discussed, including remodeling of the pulmonary vascular bed. The speaker goes on to explain the mechanics of the right ventricle and the importance of ventricular interdependence, ventricular arterial coupling, and dyssynchrony. The different etiologies of right ventricular failure are then listed, both acute and chronic. The management of right heart failure involves optimizing preload, afterload, and contractility through various strategies such as fluid administration, diuretics, inotropes, vasopressors, and pulmonary vasodilators. In severe cases, additional measures such as atrial septostomy, lung transplantation, or mechanical circulatory support may be considered. The speaker also discusses the management of acute pulmonary embolism and cardiogenic shock. The presentation concludes by emphasizing the need to tailor therapy based on the individual patient's etiology and chronicity of right ventricular failure.

Asset Subtitle

Cardiovascular, Pulmonary, 2023

Asset Caption

Type: one-hour concurrent | The People's Ventricle (SessionID 1333302)

Meta Tag

Content Type Presentation

Knowledge Area Cardiovascular

Knowledge Area Pulmonary

Membership Level Professional

Membership Level Select

Tag Heart Failure

Tag Pulmonary Hypertension

Year 2023

Keywords

right heart failure

pulmonary hypertension

ICU

management

ventricular failure

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.