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Cited by 273

The DOI matches its Crossref record; 62 of the 62 references it cites were found in a registry or an index.

Management of Acute Right Ventricular Failure in the Intensive Care Unit

Open access
Ventetuolo, Corey E., Klinger, James R.·2014·Annals of the American Thoracic Society

Abstract

Right ventricular (RV) failure occurs when the RV fails to maintain enough blood flow through the pulmonary circulation to achieve adequate left ventricular filling. This can occur suddenly in a previously healthy heart due to massive pulmonary embolism or right-sided myocardial infarction, but many cases encountered in the intensive care unit involve worsening of compensated RV failure in the setting of chronic heart and lung disease. Management of RV failure is directed at optimizing right-sided filling pressures and reducing afterload. Due to a lower level of vascular tone, vasoactive medications have less salient effects on reducing vascular resistance in the pulmonary than in the systemic circulation. Successful management requires reversal of any conditions that heighten pulmonary vascular tone and the use of selective pulmonary vasodilators at doses that do not induce systemic hypotension or worsening of oxygenation. Systemic systolic arterial pressure should be kept close to RV systolic pressure to maintain RV perfusion. When these efforts fail, the judicious use of inotropic agents may help improve RV contractility enough to maintain cardiac output. Extracorporeal life support is increasingly being used to support patients with acute RV failure who fail to respond to medical management while the underlying cause of their RV failure is addressed.

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Metadata

Authors
Ventetuolo, C. E., & Klinger, J. R.
Venue
Annals of the American Thoracic Society
Published
2014-06-01
Volume
11
Issue
5
Pages
811-822
ISSN
  • 2325-6621 (ISSN-L)
  • 2329-6933
OpenAlex
W1970966681
Cited by
273
References
62
FWCI
9.21
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Management of Acute Right Ventricular Failure in the Intensive Care Unit. https://app.cochat.ai/papers/10.1513/annalsats.201312-446fr
The paper
Ventetuolo, C. E., & Klinger, J. R. (2014). Management of Acute Right Ventricular Failure in the Intensive Care Unit. Annals of the American Thoracic Society. https://doi.org/10.1513/annalsats.201312-446fr

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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