Keep the Right in Mind-A Focused Approach to Right Ventricle-Predominant Cardiogenic Shock

Life (Basel). 2023 Jan 30;13(2):379. doi: 10.3390/life13020379.

Abstract

Cardiogenic shock (CS) remains a highly lethal condition despite many efforts and new interventions. Patients presenting with a rapid onset of hemodynamic instability and subsequent collapse require prompt and appropriate multimodality treatment. Multiple etiologies can lead to heart failure and subsequent shock. As the case prevalence of heart failure increases worldwide, it is of great importance to explore all manners and protocols of presentation and treatment present. With research primarily focusing on CS due to cardiac left-sided pathology, few assessments of right-sided pathology and the subsequent clinical state and treatment have been conducted. This review aims to present an in-depth assessment of the currently available literature, assessing the pathophysiology, presentation and management of CS patients due to right heart failure.

Keywords: cardiogenic shock; hemodynamics; mechanical cardiac support; right heart failure; right ventricle.

Publication types

  • Review

Grants and funding

This research received no external funding.