Impella RP for treatment of right ventricular shock: Appropriate unloading never gets old.

Goldstein, James A; Hanson, Ivan

Goldstein, James A; Hanson, Ivan.

Affiliation

Goldstein JA; Department of Cardiovascular Medicine, Beaumont Health System, Royal Oak, Michigan.
Hanson I; Department of Cardiovascular Medicine, Beaumont Health System, Royal Oak, Michigan.

Catheter Cardiovasc Interv ; 96(2): 382-383, 2020 08.

Article in En | MEDLINE | ID: mdl-32797744

ABSTRACT

ABSTRACT

Rapid restoration of hemodynamics is key to successful shock management. The failing right ventricular (RV) is resilient and recovers if hemodynamics are supported while the underlying insulting cause is alleviated. Inotropic/vasopressor drugs constitute a "double-edged sword" that augment hemodynamics, but exacerbate myocardial and multiorgan injury. Impella RP mechanical support for RV shock stabilizes hemodynamics and is associated with favorable clinical outcomes.

Subject(s)

Heart Failure; Heart-Assist Devices; Ventricular Dysfunction, Right; Adolescent; Heart Ventricles; Heart-Assist Devices/adverse effects; Hemodynamics; Humans; Shock, Cardiogenic/diagnosis; Shock, Cardiogenic/etiology; Shock, Cardiogenic/therapy; Treatment Outcome; Ventricular Dysfunction, Right/diagnostic imaging; Ventricular Dysfunction, Right/etiology; Ventricular Dysfunction, Right/therapy; Young Adult

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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Heart-Assist Devices / Ventricular Dysfunction, Right / Heart Failure Type of study: Diagnostic_studies / Etiology_studies Limits: Adolescent / Adult / Humans Language: En Journal: Catheter Cardiovasc Interv Journal subject: CARDIOLOGIA Year: 2020 Type: Article

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