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Right ventricular failure


Occurs when overloading or affecting the right heart. Congestive right ventricular failure (swelling of the cervical veins, high venous pressure, cyanotic fingers, tip of the nose, ears, chin, enlarged liver, the appearance of a slight icterus, edema of varying severity) is usually associated with congestive left ventricular failure and is typical for defects of the mitral and tricuspid valve, constrictive Pericarditis, myocarditis, congestive cardiomyopathy, severe ischemic heart disease. Right ventricular failure of the ejection (its signs are revealed mainly during X-ray and electrocardiograms) is characteristic of pulmonary artery stenosis of pulmonary hypertension.
The dystrophic form is the final stage of right ventricular failure, in which cachexia develops (depletion of the whole organism), dystrophic changes in the skin (thinning, gloss, smoothness of the pattern, flabbiness), edema - widespread up to anasarca (total swelling of the skin and body cavities) In blood (albumins), a violation of the water-salt balance of the body.
Recognition and evaluation of the degree of severity of heart failure is based on clinical data, refined with additional studies (lung and heart radiography, electrocardiography and echocardiography).
Treatment:
Restriction of exercise, a diet rich in proteins and vitamins, potassium with restriction of sodium salts (table salt). Medicinal treatment includes the use of peripheral vasodilators (nitrates, apressin, corinfar, prazosin, kapoten), diuretic (furosemide, hypothiazide, triampur, ureitis), veroshpiron, cardiac glycosides (strophanthin, digoxin, digitoxin, celeanide, etc.).