Right ventricular hypertrophy - Causes, Treatment


1. Causes of right ventricular hypertrophy

2. Species hypertrophy

3. Consequences

4. Diagnosis and treatment of right ventricular hypertrophy

the right ventricle - is one of the four chambers of the human heart.From there begins the pulmonary circulation, which passes through the pulmonary artery through which blood is enriched with oxygen.Therefore, such a thing as right ventricular hypertrophy is associated with lung diseases and pulmonary insufficiency.Hypertrophy called thickening of the right ventricle of the heart walls or increase in size.

Causes of right ventricular hypertrophy

hypertrophy, in fact, an increase in muscle tissue of the heart.This state is not a separate disease, but rather a syndrome which indicates the number of diseases.Hypertrophy occurs against various cardiovascular diseases, pneumonia, chronic bronchitis, pulmonary fibrosis, emphysema, pulmonary fibrosis, bronchial asthma.For Immediate Causes of right ventricular hypertrophy include tetra

logy of Fallot, or congenital heart disease, causing blue baby syndrome.The disease is associated with impaired blood flow from the right ventricle and is detected in the first year of life.Another reason hypertrophy - changing the interventricular septum, in which the heart units communicate with each other, whereby blood which is delivered to the internal organs is insufficient oxygenation.Compensating the lack of internal organs power heart works in enhanced mode, which in turn leads to hypertrophy.The reasons also include pulmonary hypertension and pulmonary valve stenosis.
insidious hypertrophy of the right ventricle of the heart lies in the fact that the normal electrical activity of the right ventricle is much lower than the left, in this connection, right ventricular hypertrophy detected only when the right ventricle mass close to the mass of the left, or even exceed it starts.

Species hypertrophy

Normally the mass of the right ventricle of the heart is three times less than the mass of the left.Depending on the degree of increase in ventricular distinguished three types of hypertrophy of the right ventricle of the heart - mild, moderate and pronounced.In moderate hypertrophy of the right ventricular mass is significantly less than that of the left.With an average degree of hypertrophy of the right ventricular mass smaller than the left, but tends to increase.When pronounced hypertrophy of the right ventricular mass may be greater than the mass of the left.

addition, you can identify these types of hypertrophy, both physiological and pathological.The physiological hypertrophy in children from the first days of life.Pathological - with congenital heart diseases, various lung diseases, as well as sudden accelerations, such as burn disease or acute pneumonia.


The right side of the heart are working with a small circle of blood circulation, which is characterized by a small load.Right ventricular hypertrophy occurs as a result of the significant overload.Her appearance often indicates that the myocardium of the heart is unable to cope with the increased load, which in turn is fraught with arrhythmias, impaired contractility, and other negative consequences.When right ventricular hypertrophy pathological changes affect the pulmonary vessels and arteries, they become hard, there is a development of sclerotic processes, increase blood pressure in the pulmonary circulation, Eisenmenger syndrome, etc.

Diagnosis and treatment of right ventricular hypertrophy

Since pulmonary hypertension and Eisenmenger syndrome are irreversible conditions, hypertrophy requires prompt diagnosis and timely treatment.Otherwise, even a heart operation can not help.

The main external signs of right ventricular hypertrophy include shortness of breath, combined with the weight and pain in the chest, sudden dizzy spells with loss of consciousness, abnormal heart rhythm with a sense of "missing" impacts, as well as pronounced swelling of the feet.

Suspected disease is possible by means of the electrocardiogram.This method of diagnosis does not indicate the true size of the right ventricle, but signals the electrical conductivity changes, which in turn can be connected with impaired ventricular dimensions.To see the detailed picture will echocardiogram or ultrasound of the heart.This method allows you to visually estimate the size of the heart and its departments, as well as to evaluate the pressure within the heart chambers.

Treatment of right ventricular hypertrophy, usually symptomatic.On the one hand it aims to eliminate the underlying disease, the other - to maintain the normal operation of the lungs and the heart muscle.

In order to eliminate all related signs of right ventricular hypertrophy, appointed complex therapy to normalize blood pressure, pulse, support and supply the heart muscle.Surgical treatment of cardiovascular disease is shown only when the disease triggers heart disease.The operation is performed immediately after diagnosis, as well as the most commonly diagnosed disease at an early age, and the operation is carried out usually in the first year of life.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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