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Right Heart Failure

  • Chapter
Congestive Heart Failure

Abstract

Right heart failure may result from dysfunctional right ventricular (RV) myocardium, excessive load imposed on the right ventricle during systole and/or diastole, or obstruction to RV inflow. The clinical expression of right heart failure is similar regardless of cause, and is mediated via a combination of elevated systemic venous pressure and depressed cardiac output, with resulting sodium and water retention. The primary manifestations are edema, fatigue, and breathlessness. In addition, the failed right ventricle may adversely influence left ventricular (LV) performance through ventricular interaction, and thus may promote signs and symptoms of left heart failure.

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Authors
  1. Marvin A. Konstam
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  2. James E. Udelson
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Editors and Affiliations

  1. Division of Cardiology, Oregon Cardiac Transplant Program, Oregon Health Sciences University, Portland, OR, 97201-3098, USA

    Jeffrey D. Hosenpud M.D.

  2. Division of Cardiology, Oregon Health Sciences University, Portland, OR, 97201-3098, USA

    Barry H. Greenberg M.D.

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Konstam, M.A., Udelson, J.E. (1994). Right Heart Failure. In: Hosenpud, J.D., Greenberg, B.H. (eds) Congestive Heart Failure. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8315-4_17

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  • DOI: https://doi.org/10.1007/978-1-4613-8315-4_17

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