Document Detail


Right ventricular failure and pathobiology in patients with congenital heart disease - implications for long-term follow-up.
MedLine Citation:
PMID:  24400283     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Right ventricular dysfunction represents a common problem in patients with congenital heart defects, such as Tetralogy of Fallot or pulmonary arterial hypertension. Patients with congenital heart defects may present with a pressure or volume overloaded right ventricle (RV) in a bi-ventricular heart or in a single ventricular circulation in which the RV serves as systemic ventricle. Both subsets of patients are at risk of developing right ventricular failure. Obtaining functional and morphological imaging data of the right heart is technically more difficult than imaging of the left ventricle. In contrast to findings on mechanisms of left ventricular dysfunction, very little is known about the pathophysiologic alterations of the right heart. The two main causes of right ventricular dysfunction are pressure and/or volume overload of the RV. Until now, there are no appropriate models available analyzing the effects of pressure and/or volume overload on the RV. This review intends to summarize clinical aspects mainly focusing on the current research in this field. In future, there will be increasing attention to individual care of patients with right heart diseases. Hence, further investigations are essential for understanding the right ventricular pathobiology.
Authors:
Doreen Köhler; Raoul Arnold; Tsvetomir Loukanov; Matthias Gorenflo
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Publication Detail:
Type:  Journal Article; Review     Date:  2013-11-19
Journal Detail:
Title:  Frontiers in pediatrics     Volume:  1     ISSN:  2296-2360     ISO Abbreviation:  Front Pediatr     Publication Date:  2013  
Date Detail:
Created Date:  2014-01-08     Completed Date:  2014-06-24     Revised Date:  2014-06-24    
Medline Journal Info:
Nlm Unique ID:  101615492     Medline TA:  Front Pediatr     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  37     Citation Subset:  -    
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