Organinteraktionen: Herz und Lunge – Management des akuten Rechtsherzversagens

Abstract

The pathophysiology and the management of patients with acute right heart failure are very complex. The bed-side focused echocardiography is the basis of differential diagnosis and acute diagnosis. Individual therapy monitoring is complex due to the strong preload dependence of the right ventricle and the limitation of non-invasive estimation of pulmonary-vascular hemodynamics, so that the indication for a pulmonary artery catheter should be liberal in acute right heart failure. The treatment goals of acute right heart failure are the treatment of the underlying disease or triggering factors in combination with individualized optimization of hemodynamic tailored to current right-ventricular function.

Die Pathophysiologie, das Management und die individuelle Therapiesteuerung von Patienten mit akutem Rechtsherzversagen (RVF) sind komplex. Basis der Differenzial- und Akutdiagnostik ist die bettseitige fokussierte Echokardiografie. Behandlungsziele sind die Behandlung der Grunderkrankung bzw. der auslösenden Faktoren in Kombination mit einer individuell an die vorliegende rechtsventrikuläre Funktion angepasste Optimierung der Hämodynamik.

Schlüsselwörter

kardiopulmonale Interaktion - kardiopulmonale Insuffizienz - akutes Rechtsherzversagen - pulmonale Hypertonie - Hämodynamik

Key words

cardiopulmonary interaction - cardiopulmonary insufficiency - acute right heart failure - pulmonary hypertension - hemodynamics

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