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The pathophysiology of hypertensive acute heart failure
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Other responses

  • Published on:
    Re:The key role of the right ventricle in the pathogenesis of acute pulmonary oedema
    • David M. Viau, MD
    • Other Contributors:
      • Donal S. O'Leary and Phillip D. Levy

    We thank Drs. MacIver and Clark for their comments regarding the role of the right ventricle in the development of acute pulmonary edema. We agree that a relative mismatch in stroke volume from the right and left sides of the heart can contribute to alveolar congestion [1]. Although we did mention preload as an important contributor to development of hypertensive acute heart failure (AHF), we chose to simplify the dis...

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    Conflict of Interest:
    None declared.
  • Published on:
    The key role of the right ventricle in the pathogenesis of acute pulmonary oedema

    The article entitled "The pathophysiology of hypertensive acute heart failure"[1] provides a contemporary review of mechanisms involved in the development of acute pulmonary oedema (APO). We wish to highlight the potential key role of the right ventricle in the pathogenesis of APO.[2]

    APO is often thought to result from backward pressure where a disease of the left ventricle causes the left ventricular end-diasto...

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    Conflict of Interest:
    None declared.