A standardized definition for right ventricular failure in cardiac surgery patients
Abstract Right ventricular failure (RVF) is a significant cause of mortality and morbidity after cardiac surgery. Despite its prognostic importance, RVF remains under investigated and without a universally accepted definition in the perioperative setting. We foresee that the provision of a standardi...
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| Format: | Article |
| Language: | English |
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Wiley
2022-06-01
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| Series: | ESC Heart Failure |
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| Online Access: | https://doi.org/10.1002/ehf2.13870 |
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| author | Habib Jabagi Alex Nantsios Marc Ruel Lisa M. Mielniczuk André Y. Denault Louise Y. Sun |
| author_facet | Habib Jabagi Alex Nantsios Marc Ruel Lisa M. Mielniczuk André Y. Denault Louise Y. Sun |
| author_sort | Habib Jabagi |
| collection | DOAJ |
| description | Abstract Right ventricular failure (RVF) is a significant cause of mortality and morbidity after cardiac surgery. Despite its prognostic importance, RVF remains under investigated and without a universally accepted definition in the perioperative setting. We foresee that the provision of a standardized perioperative definition for RVF based on practical and objective criteria will help to improve quality of care through early detection and facilitate the generalization of RVF research to advance this field. This article provides an overview of RVF aetiology, pathophysiology, current diagnostic modalities, as well as a summary of existing RVF definitions. This is followed by our proposal for a standardized definition of perioperative RVF, one that captures RV structural and functional abnormalities through a multimodal approach based on anatomical, echocardiographic, and haemodynamic criteria that are readily available in the perioperative setting (Central Image). |
| format | Article |
| id | doaj-art-b12c958eea8041faababa1a2b3a410df |
| institution | Kabale University |
| issn | 2055-5822 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj-art-b12c958eea8041faababa1a2b3a410df2025-02-05T05:22:09ZengWileyESC Heart Failure2055-58222022-06-01931542155210.1002/ehf2.13870A standardized definition for right ventricular failure in cardiac surgery patientsHabib Jabagi0Alex Nantsios1Marc Ruel2Lisa M. Mielniczuk3André Y. Denault4Louise Y. Sun5Division of Cardiac Surgery Valley Health System Ridgewood NJ USADivision of Cardiac Surgery University of Ottawa Heart Institute Ottawa ON CanadaDivision of Cardiac Surgery University of Ottawa Heart Institute Ottawa ON CanadaDivision of Cardiology University of Ottawa Heart Institute Ottawa ON CanadaDepartment of Anesthesiology and Critical Care Division Montreal Heart Institute and Université de Montréal Montreal QC CanadaDivision of Cardiac Anesthesiology University of Ottawa Heart Institute Room H‐2206, 40 Ruskin Street Ottawa ON K1Y 4W7 CanadaAbstract Right ventricular failure (RVF) is a significant cause of mortality and morbidity after cardiac surgery. Despite its prognostic importance, RVF remains under investigated and without a universally accepted definition in the perioperative setting. We foresee that the provision of a standardized perioperative definition for RVF based on practical and objective criteria will help to improve quality of care through early detection and facilitate the generalization of RVF research to advance this field. This article provides an overview of RVF aetiology, pathophysiology, current diagnostic modalities, as well as a summary of existing RVF definitions. This is followed by our proposal for a standardized definition of perioperative RVF, one that captures RV structural and functional abnormalities through a multimodal approach based on anatomical, echocardiographic, and haemodynamic criteria that are readily available in the perioperative setting (Central Image).https://doi.org/10.1002/ehf2.13870Right ventricular failureCardiac surgeryPerioperative careIntensive cardiac care unit |
| spellingShingle | Habib Jabagi Alex Nantsios Marc Ruel Lisa M. Mielniczuk André Y. Denault Louise Y. Sun A standardized definition for right ventricular failure in cardiac surgery patients ESC Heart Failure Right ventricular failure Cardiac surgery Perioperative care Intensive cardiac care unit |
| title | A standardized definition for right ventricular failure in cardiac surgery patients |
| title_full | A standardized definition for right ventricular failure in cardiac surgery patients |
| title_fullStr | A standardized definition for right ventricular failure in cardiac surgery patients |
| title_full_unstemmed | A standardized definition for right ventricular failure in cardiac surgery patients |
| title_short | A standardized definition for right ventricular failure in cardiac surgery patients |
| title_sort | standardized definition for right ventricular failure in cardiac surgery patients |
| topic | Right ventricular failure Cardiac surgery Perioperative care Intensive cardiac care unit |
| url | https://doi.org/10.1002/ehf2.13870 |
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