<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>Despite substantial advancements in diagnosis and specific medical therapy in pulmonary arterial hypertension patients’ management, this condition continues to represent a major cause of mortality worldwide. In pulmonary arterial hypertension, the continuous increase of pulmonary vascular resistance and rapid development of right heart failure determine a poor prognosis. Against targeted therapy, patients inexorable deteriorate over time. Pulmonary arterial hypertension patients with acute right heart failure who need intensive care unit admission present a complexity of the disease pathophysiology. Intensive care management challenges are multifaceted. Awareness of algorithms of right-sided heart failure monitoring in intensive care units, targeted pulmonary hypertension therapies, and recognition of precipitating factors, hemodynamic instability and progressive multisystem organ failure requires a multidisciplinary pulmonary hypertension team. This paper summarizes the management strategies of acute right-sided heart failure in pulmonary arterial hypertension adult cases based on recently available data.</p></abstract>

Despite substantial advancements in diagnosis and specific medical therapy in pulmonary arterial hypertension patients’ management, this condition continues to represent a major cause of mortality worldwide. In pulmonary arterial hypertension, the continuous increase of pulmonary vascular resistance and rapid development of right heart failure determine a poor prognosis. Against targeted therapy, patients inexorable deteriorate over time. Pulmonary arterial hypertension patients with acute right heart failure who need intensive care unit admission present a complexity of the disease pathophysiology. Intensive care management challenges are multifaceted. Awareness of algorithms of right-sided heart failure monitoring in intensive care units, targeted pulmonary hypertension therapies, and recognition of precipitating factors, hemodynamic instability and progressive multisystem organ failure requires a multidisciplinary pulmonary hypertension team. This paper summarizes the management strategies of acute right-sided heart failure in pulmonary arterial hypertension adult cases based on recently available data.

Critical Care Management of Decompensated Right Heart Failure in Pulmonary Arterial Hypertension Patients – An Ongoing Approach

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution 4.0 International License.

Despite substantial advancements in diagnosis and specific medical therapy in pulmonary arterial hypertension patients’ management, this condition continues to...

Critical Care Management of Decompensated Right Heart Failure in Pulmonary Arterial Hypertension Patients – An Ongoing Approach

Article Category: Review

Publié en ligne: 05 août 2021

Pages: 170 - 183

Reçu: 30 mai 2021

Accepté: 21 juin 2021

DOI: https://doi.org/10.2478/jccm-2021-0020

Mots clés
pulmonary arterial hypertension, acute right heart failure, hemodynamic, specific therapy, intensive care admission, management

© 2021 Ioan Tilea, Andreea Varga, Anca-Meda Georgescu, Bianca-Liana Grigorescu, published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Critical Care Management of Decompensated Right Heart Failure in Pulmonary Arterial Hypertension Patients – An Ongoing Approach

Article Category: Review

Publié en ligne: 05 août 2021

Pages: 170 - 183

Reçu: 30 mai 2021

Accepté: 21 juin 2021

DOI: https://doi.org/10.2478/jccm-2021-0020

Mots cléspulmonary arterial hypertension, acute right heart failure, hemodynamic, specific therapy, intensive care admission, management

© 2021 Ioan Tilea, Andreea Varga, Anca-Meda Georgescu, Bianca-Liana Grigorescu, published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Mots clés
pulmonary arterial hypertension, acute right heart failure, hemodynamic, specific therapy, intensive care admission, management