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Volume 11 Issue 5
Sep.  2020
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Article Navigation >  Medical Journal of Peking Union Medical College Hospital  > 2020  >  11(5): 522-527
Hui LIAN, Xin DING, Xiao-ting WANG. Progress in the Understanding of Right Heart Changes in Acute Respiratory Distress Syndrome[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(5): 522-527. doi: 10.3969/j.issn.1674-9081.2020.05.005
Citation: Hui LIAN, Xin DING, Xiao-ting WANG. Progress in the Understanding of Right Heart Changes in Acute Respiratory Distress Syndrome[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(5): 522-527. doi: 10.3969/j.issn.1674-9081.2020.05.005
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Progress in the Understanding of Right Heart Changes in Acute Respiratory Distress Syndrome

doi: 10.3969/j.issn.1674-9081.2020.05.005
  • 1.

    Department of Health Care, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

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  • Corresponding author: WANG Xiao-ting  Tel: 86-10-69152300, E-mail: icuting@163.com
  • Received Date: 2020-06-28
  • Publish Date: 2020-09-30
    Abstract
  • Mortality rate of acute respiratory distress syndrome (ARDS) remains high despite the rapid development of treatment in the past fifty years. It is gradually discovered that not only lung injury but also circulatory changes in ARDS patients lead to right-ventricular (RV) failure and acute cor pulmonale (ACP). Short-term hypoxemia is not an independent risk factor. Pulmonary vascular dysfunction has been reported as an independent predictor of death in ARDS patients. As a result, core therapy in ARDS is gradually changed from lung protection to RV protection. In this paper, the characteristics of RV change and the strategies for RV protection in ARDS are reviewed. The existing problems with RV protection scheme are put forward. The concept of preemptive protection is proposed to provide new ideas for the treatment of ARDS in the future.
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