PulmPEEPs

44. Decompensated Right Ventricular Failure in Pulmonary Arterial Hypertension

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Jun 6, 2023
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ANECDOTE

Changing Views on Arrhythmias in PAH

  • Dr. Gomberg's former partner initially believed PAH patients didn't experience atrial arrhythmias.
  • Now, with longer lifespans, these arrhythmias are more common, highlighting the evolving understanding of the disease.
ADVICE

Holistic Echo Assessment

  • Consider all echo parameters holistically when assessing RV function, don't rely on single measures like TAPSE.
  • Look at the actual images, as qualitative assessments can provide valuable insights.
ADVICE

RV vs. LV Coronary Perfusion

  • The right ventricle (RV) and left ventricle (LV) have key differences in coronary perfusion.
  • The RV receives perfusion during both systole and diastole, impacting its response to shock and treatment.
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