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hi my name is mark Andre and Iamp;#39;m gonna do a brief rundown and what you need to know about me and theyamp;#39;ve been crashing patient with acute right ventricular failure in the emergency department itamp;#39;s hard to do a talk on the RV without talking a little bit about physiology the RV is a thin walled structure thatamp;#39;s part of a low-pressure system built for compliance but unlike the LV it deals with pressure really poorly and so when it sees any increase in afterload it dilates but the RV and the LV share the fixed volume of the pericardium and so in the RV dilates it pushes the septum into space thatamp;#39;s owned by the LV and when the LV gets compressed to the point of being under filled systemic cardiac output Falls and one systemic cardiac output Falls that ends up becoming a problem for the right ventricle because the RV is perfuse from the systemic circulation and so in systemic cardiac output Falls the RV becomes ischemic itamp;#39;s contractility Fal
