The Right Ventricle in Health and Disease provides a comprehensive and up-to-date database and collection of the available information which describes the structure and function of the normal right ventricle. The right ventricular performance and function reserve has now finally moved to the center of the stage as clinicians recognize that the drugs presently used to treat patients with severe pulmonary hypertension do not necessarily improve the performance of the right ventricle and because the survival depends on the right ventricular function that treatment strategies need to be developed to primarily protect the right ventricle from failing. In-depth chapters discuss right heart function and failure in patients with congenital heart diseases, review modern imaging techniques used to describe right ventricular form and function in patients with right heart failure (including cardiac MRI and PET scanning), describe ventricular interdependence: the left ventricle in pulmonary hypertension and discuss the concept of the sick lung circulation and its contribution to right heart failure. Treatment strategies of chronic right heart failure including drugs and mechanical devices are also discussed.

Autorentext

Norbert F. Voelkel, MD
Virginia Commonwealth University
Department of Medicine
Richmond, VA, US.

Dietmar Schranz
Justus-Liebig University
Pediatric Heart Center
Giessen, Germany.

Klappentext

The Right Ventricle in Health and Disease provides a comprehensive and up-to-date database and collection of the available information which describes the structure and function of the normal right ventricle. The right ventricular performance and function reserve has now finally moved to the center of the stage as clinicians recognize that the drugs presently used to treat patients with severe pulmonary hypertension do not necessarily improve the performance of the right ventricle and because the survival depends on the right ventricular function that treatment strategies need to be developed to primarily protect the right ventricle from failing. In-depth chapters discuss right heart function and failure in patients with congenital heart diseases, review modern imaging techniques used to describe right ventricular form and function in patients with right heart failure (including cardiac MRI and PET scanning), describe ventricular interdependence: the left ventricle in pulmonary hypertension and discuss the concept of the sick lung circulation and its contribution to right heart failure. Treatment strategies of chronic right heart failure including drugs and mechanical devices are also discussed.

Inhalt

Introduction.- Section I: The Normal Right Ventricle.- 1. Normal development and morphology of the right ventricle: clinical relevance.- 2. Physiology of the Right Ventricle.- 3. The Neonatal Transition of the Right Ventricle.- 4. Advanced imaging of the right ventricle.- Section II: Congenital abnormalities.- 5. Sub-pulmonary Right Ventricle in Congenital Heart Disease.- 6. The systemic Right Ventricle in Biventricular and Univentricular Circulation.- 7. Right Ventricle in structural and functional Left Ventricular Failure in Children.- 8. Missing a Sub-pulmonary Ventricle: The Fontan Circulation.- Section III: Acute Right Heart Failure.- 9. Acute Right Ventricular Failure.- Section IV: Chronic Right Ventricular Failure.- 10. Echocardiography of Chronic Right Heart Failure.- 11. Hemodynamic evaluation and exercise testing in chronic right ventricular failure.- 12. Cardiac MRI and PET scanning in right ventricular failure.- 13. The pathobiology of chronic right ventricular failure.-14. The sick lung circulation and the failing right ventricle.- 15. Exercise induced right heart disease in athletes.- 16. Arrhythmogenic right ventricular cardiomyopathy (ARVC).- 17. The Right Ventricle in Left Heart Failure.- 18. The Right Ventricle in Chronic Lung Diseases.- 19. Treatment of Chronic Right Heart Failure.- 20. Atrial septostomy.- 21. Right Ventricular Assist Devices.- 22. Animal models of chronic right ventricular stress and failure.- Epilogue.- Index.