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==Overview==
==Overview==
[[Right heart failure]] or cor pulmonale, is a medical term used to describe a decline in right ventricular function, usually as result of either volume overload of the right ventricle or pressure overload of the right ventricle.   When the term Cor pulmonale is applied, the right ventricular failure is due to an underlying [[Respiratory system|respiratory]] disorder.
The right ventricle was previously recognized as a simple conduit between the systemic and the pulmonary circulation until recently when its importance in maintaining hemodynamic stability and organ function has been recognized. In fact, right heart function acts as an important prognostic factor in [[congenital heart diseases]], [[pulmonary hypertension]] and [[right heart failure]]<ref name=”Haddad”>Haddad F, Hunt SA, Rosenthal DN, Murphy DJ. Right ventricular function in cardiovascular disease, part I: Anatomy, physiology, aging, and functional assessment of the right ventricle. Circulation 2008;117:1436-48.</ref>.  [[Right heart failure]] can be defined as failure of the right [[ventricle]] to pump blood into the lungs adequately. It consists of an intricate clinical syndrome resulting from several functional and structural cardiovascular disorders that alter right ventricular right ventricle filling and/or ejection capacity. Furthermore, it has been shown that isolated right ventricle failure, despite its rarity as compared to left ventricular left ventricle failure, carries a worse prognosis. Hence, [[right heart failure]] presents distinctive challenges in identification and management. Right heart failure is also used interchangeably with [[cor pulmonale]] when the pathology is caused by an underlying [[lung]] disease<ref name=”Haddad”>Haddad F, Hunt SA, Rosenthal DN, Murphy DJ. Right ventricular function in cardiovascular disease, part I: Anatomy, physiology, aging, and functional assessment of the right ventricle. Circulation 2008;117:1436-48.</ref><ref>.McLaughlin VV, Archer SL, Badesch DB, Barst RJ, Farber HW, Lindner JR, Mathier MA, et al. ACCF/AHA 2009 expert consensus document on pulmonary hypertension a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents and the American Heart Association developed in collaboration with the American College of Chest Physicians; American Thoracic Society, Inc.; and the Pulmonary Hypertension Association. J Am Coll Cardiol. 2009;53:1573-619.</ref>.


==References==
==References==

Revision as of 15:15, 26 November 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The right ventricle was previously recognized as a simple conduit between the systemic and the pulmonary circulation until recently when its importance in maintaining hemodynamic stability and organ function has been recognized. In fact, right heart function acts as an important prognostic factor in congenital heart diseases, pulmonary hypertension and right heart failure[1]. Right heart failure can be defined as failure of the right ventricle to pump blood into the lungs adequately. It consists of an intricate clinical syndrome resulting from several functional and structural cardiovascular disorders that alter right ventricular right ventricle filling and/or ejection capacity. Furthermore, it has been shown that isolated right ventricle failure, despite its rarity as compared to left ventricular left ventricle failure, carries a worse prognosis. Hence, right heart failure presents distinctive challenges in identification and management. Right heart failure is also used interchangeably with cor pulmonale when the pathology is caused by an underlying lung disease[1][2].

References

  1. 1.0 1.1 Haddad F, Hunt SA, Rosenthal DN, Murphy DJ. Right ventricular function in cardiovascular disease, part I: Anatomy, physiology, aging, and functional assessment of the right ventricle. Circulation 2008;117:1436-48.
  2. .McLaughlin VV, Archer SL, Badesch DB, Barst RJ, Farber HW, Lindner JR, Mathier MA, et al. ACCF/AHA 2009 expert consensus document on pulmonary hypertension a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents and the American Heart Association developed in collaboration with the American College of Chest Physicians; American Thoracic Society, Inc.; and the Pulmonary Hypertension Association. J Am Coll Cardiol. 2009;53:1573-619.