3. Echocardiographic differences in acute and chronic lung failure. Dr. Selene Martinez
Channel: TGH Advanced Perioperative Imaging Lab
Date: 2022-12-02

Objectives
1. Explain the mechanisms of RV adaptation to chronic volume and pressure overload
2. Discuss the different imaging phenotypes of RV dysfunction related to acute vs. chronic stress
Outline a goal-oriented approach to RV assessment to guide clinical management in the OR

References
Kovács, A., Lakatos, B., Tokodi, M. et al. Right ventricular mechanical pattern in health and disease: beyond longitudinal shortening. Heart Fail Rev 24, 511–520 (2019). https://doi.org/10.1007/s10741-019-09778-1​
Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015 Jan;28(1):1-39.e14. https://doi.org/10.1016/j.echo.2014.10.003
Annette Vegas. Perioperative Two-Dimensional Transesophageal Echocardiography: A Practical Handbook. ​2nd Edition. Springer International Publishing AG 2018. Pg 87 https://link.springer.com/book/10.1007/978-3-319-60902-7
Peter Slinger. Principles and Practice of Anesthesia for Thoracic Surgery. Springer. 2nd Edition. Chapter 30.​ https://link.springer.com/book/10.1007/978-3-030-00859-8
Shiran H, Zamanian RT, McConnell MV, Liang DH, Dash R, Heidary S, et al. Relationship between Echocardiographic and Magnetic Resonance Derived Measures of Right Ventricular Size and Function in Patients with Pulmonary Hypertension. Journal of the American Society of Echocardiography. 2014 Apr 1 ;27(4):405–12. https://doi.org/10.1016/j.echo.2013.12.011
Pedoto A, Amar D. Right heart function in thoracic surgery: role of echocardiography. Curr Opin Anaesthesiol. 2009 Feb;22(1):44–9. https://doi.org/10.1097/aco.0b013e32831d7b72
Konstantinides SV, Torbicki A, Agnelli G, Danchin N, Fitzmaurice D, Galiè N, et al. 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J . 2014 Nov 14;35(43):3033–69, 3069a–3069k. https://doi.org/10.1093/eurheartj/ehu283
Haddad F, Doyle R, Murphy DJ, Hunt SA. Right ventricular function in cardiovascular disease, part II: pathophysiology, clinical importance, and management of right ventricular failure. Circulation. 2008 Apr 1;117(13):1717–31. https://doi.org/10.1161/circulationaha.107.653584
2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC) . European Heart Journal, Volume 41, Issue 4, 21 January 2020, Pages 543–603, https://doi.org/10.1093/eurheartj/ehz405​

Copyright Dr. Selene Martinez Perez. 
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