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VOLUME 18 , ISSUE 1 ( January, 2014 ) > List of Articles

CASE REPORT

Acute right heart syndrome: Rescue treatment with inhaled nitric oxide

Ashish Garg, C. Vignesh, Vinod Kumar Singh

Keywords : After load, heart failure, nitric oxide

Citation Information : Garg A, Vignesh C, Singh VK. Acute right heart syndrome: Rescue treatment with inhaled nitric oxide. Indian J Crit Care Med 2014; 18 (1):40-42.

DOI: 10.4103/0972-5229.125436

License: CC BY-ND 3.0

Published Online: 01-01-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Acute right heart syndrome is a common occurrence in intensive care units and is associated with a poor prognosis. There is lack of understanding of the involved pathophysiology, standard diagnostic protocols and treatment guidelines. Management goals include ensuring adequate right ventricle (RV) filling, maximizing RV contraction and reducing RV afterload. We describe a 39-year-old female with acute decompensated right heart failure secondary to multiple causes. She was managed with inhaled nitric oxide. Her condition improved, which was evident by a decrease in her pulmonary artery systolic pressure on serial echocardiography, decreased requirement of vasopressors and successful weaning from the ventilator.


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