Acute decompensated pulmonary arterial hypertension (PAH) is characterized by rapid worsening of clinical signs of right heart failure (RHF) with subsequent congestion and systemic circulatory insufficiency that can lead to multisystem organ failure. Short-term outcomes of acute decompensated RHF are very poor and remain the first cause of mortality in PAH.
Intensive care of acute decompensated PAH is based on the treatment of triggering factors, careful fluid management, and strategies to improve cardiac function and reduce right ventricular afterload. However, this medical strategy is not always sufficient to restore a long-lasting balance between the afterload imposed on the right ventricle and its capacity for compensation. In the case of refractory RHF despite maximal medical treatment, the use of mechanical support should now be considered in selected candidates for lung transplantation, or less commonly as a bridge to recovery in patients with a treatable cause of right-sided heart failure.
The recent advances in the knowledge on right heart failure and in the management of acute decompensated PH should contribute to improving the survival of eligible patients with end-stage PAH.
This webinar will cover this topic in order to provide a state-of-the-art on the current management of acute decompensated PH and to discuss the different management approaches to this life-threatening condition.
- To improve the knowledge on the pathophysiology of right heart failure
- To monitor right heart failure in the intensive care unit
- To improve the knowledge on the use of vasopressors in this specific indication
- To know the indication and contraindication of ECMO in acute decompensated PH
- Pathophysiology of acute right heart failure in pulmonary hypertension
- Medical treatment of acute right failure in pulmonary hypertension
- Use of Circulatory assistance in acute decompensated pulmonary hypertension
- Urgent transplantation in pulmonary hypertension
- Lecture 1: “Pathophysiology of acute decompensated right heart failure in PH”. HJ Bogaard (Amsterdam UMC). 20′
- Lecture 2: “Current management of acute decompensated PH in ICU”. L Savale (CHU Bicêtre). 20′
- Round table: Two chairs : M. Hoeper (Hannover); LC Price (Royal Brompton Hospital). 20′
Following this webinar, participants will be able to:
- Assess the severity of an episode of acute decompensated pulmonary hypertension and to propose the most appropriate management.
An application for accreditation of this webinar has been made to the European Board for Accreditation in Pneumology (EBAP) for 1 CME credit per 1-hour attendance. If accredited, the CME credit will be granted upon attendance of at least 60 minutes during the live webinar only.
What is a webinar?
A webinar closely simulates a lecture-based teaching experience. The speaker can interact with the audience, just as in a classroom setting. During the webinar, you will be asked to share your opinion on issues related to the topic using interactive polls.
All participants will be able to hear the lecturer and see the slides throughout the presentation. As a participant you will be able to pose questions or discuss ideas with the other participants via the text chat facility and the speaker will respond to the questions via the microphone.
More information will be communicated in due course.
- Please log in to the webinar 20 minutes before it is scheduled to commence. If you have any technical difficulties whilst trying to log in or during the session please contact firstname.lastname@example.org.
- Check Central European Summer Time.
- To achieve the best quality, we recommend to avoid downloading anything from the internet during your connection to the lecture and stopping all other programmes.
- Please also ensure that your audio settings are not set to mute and adjust the volume to a comfortable level.
Diseases / methods
- Pulmonary vascular disease
- Respiratory critical care
- Clinicians: pulmonologists, intensivists, cardiologists
- Thoracic surgeons