"The Right Heart Priority" in Shock Treatment——My Paper 20 Years Later

LIU Dawei

doi:10.12290/xhyxzz.2022-0409

Volume 13 Issue 6

Nov. 2022

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Medical Journal of Peking Union Medical College Hospital > 2022 > 13(6): 901-906. > DOI: 10.12290/xhyxzz.2022-0409

LIU Dawei. "The Right Heart Priority" in Shock Treatment——My Paper 20 Years Later[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 901-906. DOI: 10.12290/xhyxzz.2022-0409

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"The Right Heart Priority" in Shock Treatment——My Paper 20 Years Later

LIU Dawei^,

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:
LIU Dawei, E-mail: dwliu98@163.com
Received Date: July 28, 2022
Accepted Date: August 16, 2022
Available Online: September 06, 2022
Issue Publish Date: November 29, 2022

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Abstract

Although the shock has long and routinely been treated, right heart and pulmonary circulation used to be the forgotten corners in clinical management. Twenty years ago, my colleagues and I published the paper Right Ventricular Function of Patients with Septic Shock: Clinical Significance and proposed the strategy of "right heart priority", in which we took right heart as a starting point, completed whole circulation pathway of blood flow clinically with hemodynamic indicators, and performed treatment based on the hemodynamic changes at real locations, degrees and responses to therapeutic interventions. Over the past 20 years, this strategy has been confirmed by many others and practiced in many hospitals worldwide. The current treatment of shock is a continuous, dynamic, target directed quantitative hemodynamic therapy and is moving from individualized treatment towards organ targeted treatment.
- right heart priority,
- shock,
- hemodynamic therapy,
- organ targeted treatment

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"The Right Heart Priority" in Shock Treatment——My Paper 20 Years Later

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