CardiologyAnaesthesia & ICU
Acute Pulmonary Hypertension / RV Failure
Recognise RV failure, cautious fluid, vasopressor + pulmonary vasodilators, identify reversible cause (PE, sepsis, hypoxia).
Source: ESC/ERS 2022 Pulmonary Hypertension
Step 1 of ~6
info
Recognise
RV failure features: raised JVP, pulsatile hepatomegaly, peripheral oedema, pre-syncope/syncope, hypotension, oliguria, lactic acidosis. Echo: RV dilatation, RV systolic dysfunction (TAPSE <17 mm), septal flattening, dilated IVC. Triggers: PE, sepsis, hypoxia, AF, drug withdrawal in PAH.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
- Selexipag · Pulmonary Arterial Hypertension
- Macitentan · Pulmonary Arterial Hypertension
- Hydralazine (IV — Acute Hypertension in Pregnancy) · Vasodilator (Antihypertensive)
- Sildenafil (Paediatric — PPHN / PAH) · PDE5 Inhibitor (Paediatric Pulmonary Hypertension)
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only. Always apply local guidelines and clinical judgement.