HARD DECISIONS IN INTENSIVE CARE UNIT

Intensivecareunitkapak

RIGHT HEART FAILURE

Sultan Sevim Yakın

Ankara Bilkent City Hospital, Department of Intensive Care, Ankara, Türkiye

Sevim Yakın S. Right Heart Failure. In: Turan S, editor. Hard Decisions in Intensive Care Unit. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.215-224.

ABSTRACT

Right heart failure is defined as impaired right ventricular contractility and may occur due to myocardial dysfunction, high pressures or volume overload. It accounts for 2% to 9% of hospital admissions with acute heart failure and its mortality varies between 5% and 17%. It occurs due to increased right ventricular afterload, decreased right ventricular contractility, and increased/decreased right ventricular preload. The clinical picture varies according to the acute or chronic onset of the etiology and the severity of the damage. Early recognition and appropriate treatment of right heart failure is important as it significantly alters the mortality and morbidity of patients in intensive care.

Keywords: Right heart failure; Pathophysiology; Etiology; Diagnosis; Treatment

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