Chronic Heart Failure: I. Quality of Life II. Nitrate Therapy

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Etiology and Mechanisms of Right Heart Failure. TABLE 2. TABLE 3.

Heart failure - Wikipedia


Show more Show less. In recent years, several studies have shown that right ventricular function is an important predictor of survival in patients with congenital heart disease, pulmonary hypertension or left heart failure.

Heart Failure: Understanding Heart Failure: Management and Treatment

Our understanding of right heart failure has improved considerably over the last two decades. In this review article, our objective was to provide a critical summary of the evidence underlying the management of right heart failure. A systematic review of the literature was performed using PubMed and the latest issue of the Cochrane Central Register of Controlled Trials to identify studies conducted between January and January The literature search encompassed observational studies, randomized controlled trials and meta-analyses.

The evidence underlying the use of beta-blockade, angiotensin-converting enzyme inhibitors, inhaled nitric oxide, hydralazine, warfarin, and resynchronization therapy in right heart failure was systematically reviewed. Emerging new therapies, such as metabolic modulators, and the pearls and pitfalls of managing right heart failure are also discussed in the article..

Palabras clave:. Insuficiencia cardiaca. We also discuss important perils and pitfallsthat may help in the management of patients withRHF. Searches using individual brand names of medicationswere also conducted. Patientsmay present with a clinical picture of biventricularfailure or predominantly RHF. Table 2 summarizes theclassification of pulmonary hypertension, a commoncause of RHF.

Different Treatments for Congestive Heart Failure

J Am Coll Cardiol, 53 , pp. J Am Coll Cardiol, 52 , pp. Right ventricular function and failure: report of a National Heart, Lung, and Blood Institute working group on cellular and molecular mechanisms of right heart failure.. Circulation, , pp. The right ventricle in pulmonary hypertension.. The right ventricle in congenital heart disease.. Right ventricular function in cardiovascular disease, part I: Anatomy, physiology, aging, and functional assessment of the right ventricle..

Right ventricular function in cardiovascular disease, part II: Pathophysiology, clinical importance, and management of right ventricular failure.. Current Opinion in Cardiology.. Updated clinical classification of pulmonary hypertension.. J Am Coll Cardiol, 54 , pp. Guides for reading and interpreting systematic reviews: II.. How did the authors find the studies and assess their quality? Arch Pediatr Adolesc Med, , pp. Methodology and reports of systematic reviews and meta-analyses: a comparison of Cochrane reviews with articles published in paper-based journals..

JAMA, , pp.

End points and clinical trial design in pulmonary arterial hypertension.. The right ventricle under pressure: cellular and molecular mechanisms of right-heart failure in pulmonary hypertension.. Chest, , pp. Comprehensive invasive and noninvasive approach to the right ventricle-pulmonary circulation unit: state of the art and clinical and research implications.. Emerging concepts and translational priorities in pulmonary arterial hypertension..

Neurohormonal activation and the chronic heart failure syndrome in adults with congenital heart disease.. Elevated circulating levels of inflammatory cytokines and bacterial endotoxin in adults with congenital heart disease.. Am J Cardiol, 92 , pp. Cardioprotective effects of ramipril and losartan in right ventricular pressure overload in the rabbit: importance of kinins and influence on angiotensin II type 1 receptor signaling pathway.. Cardiac sympathetic rejuvenation: a link between nerve function and cardiac hypertrophy.. Circ Res, , pp. The natriuretic peptides and their role in disorders of right heart dysfunction and pulmonary hypertension..

Clin Biochem, 37 , pp. Molecular and physiological characterization of RV remodeling in a murine model of pulmonary stenosis.. Right ventricular function in pulmonary hypertension: physiological concepts. Heart J, 9 , pp. Right ventricular myocardium derives from the anterior heart field.. Ventricular interdependence: significant left ventricular contributions to right ventricular systolic function.. Prog Cardiovasc Dis, 40 , pp. Left-to-right ventricular interaction with a noncontracting right ventricle.. J Thorac Cardiovasc Surg, , pp.

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The right ventricle: anatomy, physiology, and clinical importance.. Curr Probl Cardiol, 16 , pp. Angina associated with left main coronary artery compression in pulmonary hypertension.. J Heart Lung Transplant, 28 , pp. Prognostic value of right ventricular mass, volume, and function in idiopathic pulmonary arterial hypertension.. Eur Heart J, 28 , pp. Noninvasively assessed pulmonary artery stiffness predicts mortality in pulmonary arterial hypertension.. Plasma brain natriuretic peptide as a prognostic indicator in patients with primary pulmonary hypertension.. Natriuretic peptides, respiratory disease, and the right heart..

Am J Cardiol, 97 , pp. Importance of cardiac troponins I and T in risk stratification of patients with acute pulmonary embolism.. Detectable serum cardiac troponin T as a marker of poor prognosis among patients with chronic precapillary pulmonary hypertension.. E2 Medline. Hyponatremia predicts right heart failure and poor survival in pulmonary arterial hypertension.. Curr Probl Cardiol, 33 , pp. Resynchronization therapy in pediatric and congenital heart disease patients: an international multicenter study..

Cardiac resynchronization therapy: a novel adjunct to the treatment and prevention of systemic right ventricular failure.. J Am Coll Cardiol, 44 , pp.

Practice Guidelines

Electrical resynchronization: a novel therapy for the failing right ventricle.. Resynchronization pacing is a useful adjunct to the management of acute heart failure after surgery for congenital heart defects.. Am J Cardiol, 88 , pp. Mechanoelectrical interaction in tetralogy of Fallot.