Content Search Test - MJ-Decompensated Right Heart Failure and Pulmonary Embolism_Pugh

Decompensated Right Heart Failure and Pulmonary Embolism_Pugh - 1

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This document provides an overview of the topics of decompensated right heart failure (DRHF) and pulmonary embolism. Chapter 1 focuses on the etiology, treatment goals, and complications of DRHF. It discusses the anatomy and physiology of the right ventricle, the symptoms and signs of DRHF, and various causes of right heart failure. The chapter also provides an overview of the management of DRHF in the intensive care unit, including approaches to addressing excessive preload, excessive afterload, insufficient contractility, and reduced lusitropy.<br /><br />Chapter 2 discusses the diagnosis and risk assessment of pulmonary embolism (PE). It covers the definition of PE, the Wells score for PE risk assessment, the use of D-dimer testing, and imaging modalities such as computed tomography angiography and echocardiography for diagnosing PE. The chapter also highlights the classification of PE based on risk and discusses predictors of mortality in PE, including imaging findings, laboratory markers, and clinical assessment.<br /><br />Chapter 3 focuses on the treatment of PE. It provides a guideline-based treatment algorithm for acute PE, including anticoagulation therapy, respiratory support, hemodynamic support, and the use of thrombolysis or embolectomy in high-risk, hemodynamically unstable patients. The chapter also discusses the indications and contraindications for thrombolytic therapy in PE and alternatives to systemic thrombolysis, such as catheter-directed therapy and the use of inferior vena cava filters.<br /><br />Overall, the document covers important concepts and approaches in the management of DRHF and PE, providing a comprehensive overview for clinicians.

Keywords

decompensated right heart failure

pulmonary embolism

etiology

treatment goals

complications

management

diagnosis

risk assessment

treatment algorithm

clinicians