The acutely decompensated right ventricle: pathways for diagnosis and management

Chest. 2005 Sep;128(3):1836-52. doi: 10.1378/chest.128.3.1836.


Decompensated right ventricular (RV) failure is becoming increasingly common as the prevalence of predisposing conditions grows. Advances in diagnosis and management have granted insights into the following pathophysiologic mechanisms of RV dysfunction: impaired RV contractility, RV pressure overload, and RV volume overload. Emerging imaging modalities, such as cardiac MRI, and new therapeutic agents, such as pulmonary selective vasodilators, have expanded our options for evaluation and management, respectively. An improved understanding of pathophysiology and technologic progress provides us with new pathways in the diagnosis and hemodynamic support of these often critically ill patients.

Publication types

  • Review

MeSH terms

  • Heart Failure* / diagnosis
  • Heart Failure* / etiology
  • Heart Failure* / physiopathology
  • Heart Failure* / therapy
  • Hemodynamics
  • Humans
  • Magnetic Resonance Imaging
  • Myocardial Contraction / physiology
  • Vasodilator Agents / therapeutic use
  • Ventricular Dysfunction, Right* / complications
  • Ventricular Dysfunction, Right* / diagnosis
  • Ventricular Dysfunction, Right* / etiology
  • Ventricular Dysfunction, Right* / physiopathology
  • Ventricular Dysfunction, Right* / therapy


  • Vasodilator Agents