The Right Ventricle in Left Heart Failure View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2015

AUTHORS

Louis J. Dell’Italia

ABSTRACT

The right ventricle (RV) because of its low pressure working conditions and its complex geometry stands in stark contrast to the left ventricle (LV). Thus, under normal baseline conditions the RV’s unique anatomy, myocardial ultrastructure, and coronary physiology reflect a high volume low pressure pump. Early work by Starr et al. (Am Heart J 26:291–301, 1943), Bakos (Circulation 1:724–731, 1950), Kagan (Circulation 5:816–823, 1952), Donald and Essex (Am J Physiol 176:155–161, 1954) described the RV as a passive conduit with minimal pumping capability. Despite the marked differences in loading conditions and geometry in the normal state, RV myocardial and chamber dynamics respond in a manner similar to the LV pump mechanics. Over the years with improved functional imaging capabilities, it is now well appreciated that through its own unique properties and a mechanism of ventricular interdependence, RV systolic function and diastolic load are extremely important in the prognosis and treatment of congestive heart failure. More... »

PAGES

361-390

Book

TITLE

The Right Ventricle in Health and Disease

ISBN

978-1-4939-1064-9
978-1-4939-1065-6

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-1-4939-1065-6_17

DOI

http://dx.doi.org/10.1007/978-1-4939-1065-6_17

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1041963594


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