Right heart failure medical therapy: Difference between revisions
New page: {{Right heart failure}} {{CMG}} ==References== {{Reflist|2}} Category:Cardiology Category:Pulmonology Category:Emergency medicine Category:Mature chapter |
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{{Right heart failure}} | {{Right heart failure}} | ||
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==Overview== | |||
Treatment of the underlying cause of right heart failure is the mainstay of therapy. | |||
==[[Pulmonary embolism]]== | |||
In [[pulmonary embolism]], [[thrombolysis]] (enzymatic dissolution of the blood clot) is advocated if there is dysfunction of the [[right ventricle]]. In [[COPD]], long-term [[oxygen therapy]] may improve [[cor pulmonale]]. | |||
[[Cor pulmonale]] may lead to [[congestive heart failure]] ([[CHF]]), with worsening of respiration due to [[pulmonary edema]], swelling of the legs due to [[peripheral edema]] and painful congestive [[hepatomegaly]]. This situation requires [[diuretic]]s (to decrease strain on the heart), sometimes [[nitrate]]s (to improve blood flow), phosphodiesterase inhibitors like [[Sildenafil]], [[tadalafil]] and occasionally [[inotrope]]s (to improve heart contractility). [[CHF]] is a negative [[prognosis|prognostic indicator]] in [[cor pulmonale]]. | |||
==References== | ==References== | ||
Revision as of 19:19, 3 September 2011
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Right heart failure Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Treatment of the underlying cause of right heart failure is the mainstay of therapy.
Pulmonary embolism
In pulmonary embolism, thrombolysis (enzymatic dissolution of the blood clot) is advocated if there is dysfunction of the right ventricle. In COPD, long-term oxygen therapy may improve cor pulmonale.
Cor pulmonale may lead to congestive heart failure (CHF), with worsening of respiration due to pulmonary edema, swelling of the legs due to peripheral edema and painful congestive hepatomegaly. This situation requires diuretics (to decrease strain on the heart), sometimes nitrates (to improve blood flow), phosphodiesterase inhibitors like Sildenafil, tadalafil and occasionally inotropes (to improve heart contractility). CHF is a negative prognostic indicator in cor pulmonale.