Post-resuscitation right ventricular dysfunction: Delineation and treatment with dobutamine

Robyn J. Meyer, Karl B. Kern, Robert A. Berg, Ronald W. Hilwig, Gordon A. Ewy

Research output: Contribution to journalArticle

46 Scopus citations

Abstract

Background: Left ventricular dysfunction after resuscitation from cardiac arrest has been well described. Treatment with dobutamine improves post-resuscitation left ventricular function. Right ventricular function following resuscitation has not been investigated. The purposes of this study were to examine right ventricular function following resuscitation and determine whether dobutamine would improve post-resuscitation right ventricular function. Methods and results: Right ventricular function was measured in 28 swine (29±1 kg) before and after resuscitation from 15 min of untreated ventricular fibrillation. Twelve animals received dobutamine at 10 mcg/kg/min while 16 animals served as untreated controls. Among controls, right ventricular dysfunction post-resuscitation was demonstrated by a decrease in right ventricular ejection fraction and an increase in right ventricular end-diastolic pressure. Among animals treated with dobutamine, there was a significant improvement in right ventricular function post-resuscitation compared to untreated controls. Conclusions: This study establishes that right ventricular systolic and diastolic dysfunction does occur after prolonged cardiac arrest from ventricular fibrillation. Dobutamine can ameliorate post-resuscitation right ventricular dysfunction.

Original languageEnglish (US)
Pages (from-to)187-191
Number of pages5
JournalResuscitation
Volume55
Issue number2
DOIs
StatePublished - Nov 1 2002

Keywords

  • Cardiopulmonary resuscitation
  • Drug therapy
  • Ventricular fibrillation
  • Ventricular functionright

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine

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