Research progress on right heart function assessment and protective strategies in acute respiratory distress syndrome
Moderate to severe acute respiratory distress syndrome(ARDS)is often complicated with right heart function injury.The acute right heart dysfunction destroys the stability of hemodynamics.This is the main risk factor for death in patients with ARDS.The right heart is not only the pathway connecting the systemic circulation and pulmonary circulation,but also has the function of reservoir and pump,which always play an important role in blood circulation.When ARDS occurs,the right ventricular function and its preload and postload changes should be comprehensively analyzed,the right ventricular contractility should be maintained,the right ventricular filling pressure should be optimized,and the right ventricular afterload should be reduced.Only in this way,we could better prevent and treat the ARDS combined with acute right heart failure.
Right heart function assessmentRight heart protective strategiesAcute respiratory distress syndromeAcute right ventricular dysfunction