Medical Management of Acute RV Failure: Preventing the RV Spiral

Summary: This infographic outlines the comprehensive management approach to acute right ventricular (RV) failure. It emphasizes the need for quick assessment and treatment of the underlying etiology (e.g., myocardial infarction or pulmonary embolism) and highlights supportive measures targeting RV function, systemic perfusion, preload, and afterload. Key interventions include using inotropes and vasopressors, careful fluid management, optimizing oxygenation, and addressing rhythm control to prevent the progression into the “RV Spiral,” a state of worsening cardiac output and systemic effects.

Credits:
Produced by: Thomas Maddox | Karan Desai

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