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- Title
Transthoracic Right Heart Echocardiography for the Intensivist.
- Authors
Hockstein, Maxwell A.; Haycock, Korbin; Wiepking, Matthew; Lentz, Skyler; Dugar, Siddharth; Siuba, Matthew
- Abstract
Background: The impact of critical illness on the right ventricle (RV) can be profound and RV dysfunction is associated with mortality. Intensivists are becoming more facile with bedside echocardiography, however, pedagogy has largely focused on left ventricular function. Here we review measurements of right heart function by way of echocardiographic modalities and list clinical scenarios where the RV dysfunction is a salient feature. Main: RV dysfunction is heterogeneously defined across many domains and its diagnosis is not always clinically apparent. The RV is affected by conditions commonly seen in the ICU such as acute respiratory distress syndrome, pulmonary embolism, RV ischemia, and pulmonary hypertension. Basic ultrasonographic modalities such as 2D imaging, M-mode, tissue Doppler, pulsed-wave Doppler, and continuous Doppler provide clinicians with metrics to assess RV function and response to therapy. Conclusion: The right ventricle is impacted by various critical illnesses with substantial mortality and mortality. Focused bedside echocardiographic exams with attention to the right heart may provide intensivists insight into RV function and provide guidance for patient management.
- Subjects
ECHOCARDIOGRAPHY; RIGHT heart ventricle diseases; ADULT respiratory distress syndrome; INTENSIVE care units; PATIENT management; ULTRASONIC imaging
- Publication
Journal of Intensive Care Medicine, 2021, Vol 36, Issue 9, p1098
- ISSN
0885-0666
- Publication type
Article
- DOI
10.1177/08850666211003475