RIGHT VENTRICLE INSUFFICIENCY

NAME:
DAVID ALBERTO JONES PARDO

PRACTICE
ICB

UNIVERSIDAD DE SANTANTADER, BUCARAMANGA

INSTRUMENTACION QUIRURGICA
GENERAL
THIS REPRESENTS BETWEEN 1/3-1/6 OF THE VENTRICULAR MASS
IT HAS A THIN WALL OF 5 MM THICKNESS
10-15% LONGER THAN THE LEFT VENTRICLE
PERFUSION DURING THE WHOLE CARDIAC CYCLE
VENTRICULAR DEPENDENCE HAS BEEN EVIDENCED
IN THE SYSTOLE
THE LEFT VENTRICLE SUPPORTS THE RIGHT VENTRICLE BETWEEN 20 TO 40%
AND THE RIGHT VENTRICLE SUPPORTS THE LEFT VENTRICLE BETWEEN 4 TO
12% AND THIS DOES NOT DEPEND ON THE PERICARDIUM
IN THE DIASTOLE
THE DEPENDENCE ON THE DIASTOLE DOES DEPEND ON THE PERICARDIUM
IN THIS TALK THEY EXPOSE A SYNDROME WHERE THE RIGHT VENTRICLE IS
UNABLE TO PERFORM AN ADEQUATE EJECTION TO MEET METABOLIC
DEMANDS OR REQUIRES AN INCREASE IN FILLING PRESSURES
THE PATHOPHYSIOLOGY PRESENTED WAS RIGHT VENTRICULAR FAILURE-
THESE DETERMINE THE RIGHT VENTRICULAR FUNCTION
PRELOAD
AFTERLOAD
CONTRACTILITY
LUSITROPIA
THIS WAS DUE TO SOME ACUTE OR CHRONIC ABNORMALITY OF THE RIGHT
VENTRICULAR LOAD: PRELOAD AND AFTERLOAD
ABNORMALITY OF CARDIAC FUNCTION: CONTRACTILITY
ABNORMALITY OF ACTIVE RELAXATION: LUSITROPIA