p.52 抽出テキスト

Management of patients with isolated right ventricular failure

Y Specific treatments

ACS with RV involvement or acute pulmonary embolism

N

Loop diuretics

(Class I) Consider careful fluid administration

Marked congestion

Y

RVAD

AND/OR

Renal replacement

therapy

OR

Consider palliative care

N Y

Optimize fluid status

N

Peripheral hypoperfusion/

persistent hypotension N

Vasopressors and/or inotropesa

(Class IIb)

Relief of signs and symptoms

Y

Follow-up

Figure 9 Management of right ventricular failure. ACS= acute coronary syndrome; RV= right ventricular; RVAD= right ventricular assist device. aInotropes alone in case of hypoperfusion without hypotension. Downloaded from academic.oup.com/eurheartj/article/42/36/3599/6358045 by guest on 07 October 2026