Essential Right Heart Physiology for the Perioperative Practitioner Poqi IX: Current Perspectives on the Right Heart in the Perioperative Period

Authors

Matthew D McEvoy
Paul M Heerdt
Vicki Morton
Raquel R Bartz
Timothy E Miller
POQI IX Collaborators

Publication Date

4-9-2024

Journal

Perioperative Medicine

DOI

10.1186/s13741-024-00378-8

PMID

38594738

PMCID

PMC11003027

PubMedCentral® Posted Date

4-9-2024

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

Right heart, Right ventricle, Failure, Pulmonary, Physiology, Perioperative

Abstract

As patients continue to live longer from diseases that predispose them to right ventricular (RV) dysfunction or failure, many more patients will require surgery for acute or chronic health issues. Because RV dysfunction results in significant perioperative morbidity if not adequately assessed or managed, understanding appropriate assessment and treatments is important in preventing subsequent morbidity and mortality in the perioperative period. In light of the epidemiology of right heart disease, a working knowledge of right heart anatomy and physiology and an understanding of the implications of right-sided heart function for perioperative care are essential for perioperative practitioners. However, a significant knowledge gap exists concerning this topic. This manuscript is one part of a collection of papers from the PeriOperative Quality Initiative (POQI) IX Conference focusing on "Current Perspectives on the Right Heart in the Perioperative Period." This review aims to provide perioperative clinicians with an essential understanding of right heart physiology by answering five key questions on this topic and providing an explanation of seven fundamental concepts concerning right heart physiology.

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