Pulmonary Hypertension and Right Ventricular Failure in Emergency Medicine

Annals of Emergency Medicine
Susan R WilcoxRichard N Channick

Abstract

Pulmonary hypertension is a hemodynamic condition, defined as a mean pulmonary artery pressure by right-sided heart catheterization of at least 25 mm Hg at rest. It is classified into 5 general groups based on the underlying cause, with left ventricular failure and chronic obstructive pulmonary disease being 2 of the most common causes in the United States. Although the specifics of the pathophysiology will vary with the cause, appreciating the risks of pulmonary hypertension and right ventricular failure is critical to appropriately evaluating and resuscitating pulmonary hypertension patients in the emergency department (ED). Patients may present to the ED with complaints related to pulmonary hypertension or unrelated ones, but this condition will affect all aspects of care. Exertional dyspnea is the most common symptom attributable to pulmonary hypertension, but the latter should be considered in any ED patient with unexplained dyspnea on exertion, syncope, or signs of right ventricular dysfunction. Patients with right ventricular failure are often volume overloaded, and careful volume management is imperative, especially in the setting of hypotension. Vasopressors and inotropes, rather than fluid boluses, are often required ...Continue Reading

References

Feb 5, 1998·Progress in Cardiovascular Diseases·W P Santamore, L J Dell'Italia
Mar 24, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·B L LopezX L Ma
Jan 31, 2002·American Journal of Respiratory and Critical Care Medicine·Marius M HoeperRobyn J Barst
Aug 1, 1953·American Heart Journal·N O FOWLERR C SCOTT
Mar 1, 1960·Circulation Research·A C TAQUINIP ARAMENDIA
Dec 4, 2003·JAMA : the Journal of the American Medical Association·Christian RichardUNKNOWN French Pulmonary Artery Catheter Study Group
Jun 11, 2005·Chest·Anton Vonk-NoordegraafPieter E Postmus
Oct 20, 2005·JAMA : the Journal of the American Medical Association·Charlie S WangNajib T Ayas
Apr 6, 2007·Annals of Emergency Medicine·Scott M SilversUNKNOWN American College of Emergency Physicians
Sep 15, 2007·Critical Care Medicine·Roham T ZamanianAnn B Weinacker
Dec 2, 2008·Journal of Cardiac Failure·Micha T MaederDavid M Kaye
Jun 22, 2010·The European Respiratory Journal·M HumbertUNKNOWN French Pulmonary Arterial Hypertension Network
Sep 23, 2010·Critical Care : the Official Journal of the Critical Care Forum·Laura C PriceStephen J Brett
Oct 19, 2010·Journal of the American College of Cardiology·Tim LahmDaniel R Meldrum
Oct 20, 2010·European Respiratory Review : an Official Journal of the European Respiratory Society·M Delcroix, R Naeije
Jun 28, 2011·American Journal of Respiratory and Critical Care Medicine·Marius M Hoeper, John Granton
Aug 13, 2011·American Heart Journal·Richa Agarwal, Mardi Gomberg-Maitland
Nov 2, 2011·Emergency Medicine Clinics of North America·Peter S Pang
Jul 19, 2012·Current Heart Failure Reports·Eric M Green, Michael M Givertz
Dec 29, 2012·Respiratory Care·Eftychia A DemeroutiGeorge T Karatasakis
Jan 30, 2013·The Western Journal of Emergency Medicine·Karen OlaesPhillips Perera
Jan 31, 2013·Intensive Care Medicine·R P DellingerUNKNOWN Surviving Sepsis Campaign Guidelines Committee including The Pediatric Subgroup
Feb 27, 2013·The American Journal of Cardiology·Aaron B Waxman, Roham T Zamanian
Jul 3, 2013·Circulation. Heart Failure·Bradley A MaronJayashri R Aragam
Sep 12, 2013·Arthritis and Rheumatism·Dinesh KhannaUNKNOWN Scleroderma Foundation and Pulmonary Hypertension Association
Nov 26, 2013·Clinics in Chest Medicine·Peter S MarshallWilliam R Auger
Dec 21, 2013·Journal of the American College of Cardiology·Gerald SimonneauRogiero Souza
Dec 21, 2013·Journal of the American College of Cardiology·Marius M HoeperDavid B Badesch
Sep 2, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Mohammad Al DeebDavid Barbic

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Citations

Jul 1, 2016·Clinical Chemistry and Laboratory Medicine : CCLM·Yufeng ZhuoYing Cheng
Apr 30, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Matt A RutzFrances M Russell
Jan 10, 2019·Pediatric Emergency Care·Kathleen A NoorbakhshJennifer R Marin
Jan 23, 2020·Journal of Intensive Care Medicine·Christian GrantSusan R Wilcox
May 19, 2020·The Western Journal of Emergency Medicine·Susan R WilcoxCarlos A Camargo
Mar 28, 2018·Internal and Emergency Medicine·Drew Alan LongAlex Koyfman
Sep 22, 2020·Case Reports in Anesthesiology·Joseph CaponeKenneth D Candido
Feb 24, 2021·Therapeutic Advances in Respiratory Disease·Fernando ExpostoAmélie Beaudet
Apr 6, 2020·The American Journal of Emergency Medicine·Brit LongMichael Gottlieb
Sep 16, 2018·The American Journal of Emergency Medicine·Tim MontriefBrit Long
Mar 3, 2020·The American Journal of Emergency Medicine·Erica SimonBrit Long
May 8, 2019·The American Journal of Emergency Medicine·William T DavisBrit Long
Dec 29, 2020·Medicina intensiva·J J Jiménez RiveraUNKNOWN en representación del GTCICYRCP
Jun 15, 2021·The American Journal of Emergency Medicine·Rachana BhatJayaraj Mymbilly Balakrishnan
Jun 22, 2020·The Journal of Emergency Medicine·Skyler LentzBrit Long
Oct 12, 2020·The American Journal of Emergency Medicine·Madison DalySkyler Lentz
Aug 18, 2021·The American Journal of Emergency Medicine·Susan R WilcoxCarlos A Camargo
Sep 4, 2021·Heart Failure Reviews·Cyrus A VahdatpourAli Ataya

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