title: Acute right heart syndrome: Rescue treatment with inhaled nitric oxide.
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.
authors.affiliation: Department of Critical Care and Emergency Medicine, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Ashish
authors.initials: A
authors.lastname: Garg
authors.affiliation: Department of Critical Care and Emergency Medicine, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: C
authors.initials: C
authors.lastname: Vignesh
authors.affiliation: Department of Critical Care and Emergency Medicine, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Vinod Kumar
authors.initials: VK
authors.lastname: Singh
authors.affiliation: Department of Critical Care and Emergency Medicine, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Sumit
authors.initials: S
authors.lastname: Ray
keywords: After load; heart failure; nitric oxide