Emergency Department Management of Patients With Right Heart Failure | Points & Pearls
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Emergency Department Management of Patients With Right Heart Failure

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Points & Pearls Excerpt

  • Right heart failure (RHF) is the common endpoint of numerous cardiac, pulmonary, and systemic pathologies.
  • Recognition of RHF in the ED is vitally important, as it can dramatically alter the management of commonly presenting conditions.
  • Right heart function is dictated by 3 physiologic domains: (1) resistance to right ventricular ejection (afterload) via the pulmonary artery; (2) right ventricular systolic and diastolic pump function; and (3) right heart filling (preload) via systemic venous return. (See Figure 1.)
  • The possible causes of RHF are vast, and more than one acute or chronic etiology may contribute. See Table 2 for etiologies of acute and acute-on-chronic RHF. Table 4 lists common ED diagnoses associated with acute RHF.
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Publication Information
Authors

Daniel S. Brenner, MD, PhD; Onyedika J. Ilonze, MD; Shelby Beil, MD; Kellie Kaneshiro, AMLS; Nicholas E. Harrison, MD, MSc

Peer Reviewed By

James Morris, MD, MPH, FACEP; Kestrel Reopelle, MD, MEd

Publication Date

February 1, 2024

CME Expiration Date

February 1, 2027    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-B Credits.

Pub Med ID: 38266064

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