Critical Matters Right Ventricular Failure
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May 25, 2023 Join Dr. Ryan Tedford, a renowned cardiologist and expert in heart failure, as he delves into the often-overlooked role of the right ventricle in critical health scenarios. He discusses how right ventricular failure significantly impacts conditions like COVID-19 and highlights key determinants of RV function. Dr. Tedford also provides insights into effective assessment techniques, imaging tools, and emerging treatment strategies, including innovative catheter therapies. Plus, he shares recommendations for future research and resources for deeper understanding.
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Right Ventricle's Undervalued History
- Historical experiments underestimated RV importance because early animal studies and Fontan outcomes misled clinicians.
- Ryan Tedford emphasizes the RV is now recognized as a critical determinant across many diseases.
Use The Four Determinants Framework
- Assess RV using its four determinants: preload, contractility, afterload, and lusitropy.
- Use that physiology framework to guide diagnosis and treatment decisions.
Diastolic Function Matters Equally
- RV diastolic function (lusitropy) can be as important as systolic contractility.
- Emerging data suggest diastolic dysfunction may drive outcomes in sepsis and early HFpEF.
