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2016, Number 2

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Rev Cubana Pediatr 2016; 88 (2)

Structure and function of the morphological right ventricle subjected to systemic post-load

Serrano RG, González MAE, Savío BAF, Céspedes AM

Language: Spanish
References: 40
Page: 223-237
PDF size: 120.41 Kb.


ABSTRACT

Introduction: for many years, the relevance of the structure and the function of the right ventricle have been underestimated. Both ventricles are different in morphology, pressure cycles, resistance and ventricular interdependence, so their behaviors cannot be extrapolated. The right ventricular function deteriorates due to pressure overload, volume overload or the combination of both when subjected to the systemic circulation.
Objective: to make an updated review of the structure and function of ventricle, therapeutics and imaging techniques commonly used to evaluate the right ventricle. To this end, Medline, PubMed, SciELO databases and Springerlink platform, available from Infomed, were reviewed in English and Spanish from 2000 to 2015.
Development: it deals with the origin and evolution of the right ventricle, its structure, function and behavior of several physiological variables; the assessment of the right ventricle subjected to systemic post-load, the presence of sudden death and arrhythmias as well as the evaluation based on imaging techniques and the advantages of cardiac resynchronization therapy.
Final thoughts: both ventricles have different structures and functions. The dysfunction of the right ventricle subjected to systemic post-load evolves in progressive phases. By means of transthoracic echocardiography, it is possible to estimate the systolic and diastolic function of the right ventricle. It is necessary to perform prospective observational studies that would identify useful echocardiographic tools in order to stratify the patients since the subclinical phase, and then to draw up therapeutic strategies for preservation of the right ventricular function.


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