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Left ventricular failure (LVF) frequently presents in critical care settings and reflects the heart’s diminished capacity to sustain effective forward flow, leading to systemic hypoperfusion and pulmonary congestion. Patients may complain of breathlessness during exertion or sleep, and physical assessment might reveal cold limbs, neck vein distension, and lung crackles. A structured ICU strategy for LVF involves not only stabilizing the acute episode but also mitigating modifiable triggers and concurrent diseases to reduce recurrent admissions and improve survival [1–3] [Ref: Algorithm 67.1].

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Approach to Left Ventricular Failure in the ICU

  • 章节

  • 发表日期：

    2025年

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  • Shakti Bedanta Mishra,
  • Samir Samal,
  • Sagarika Panda

摘要

Left ventricular failure (LVF) frequently presents in critical care settings and reflects the heart’s diminished capacity to sustain effective forward flow, leading to systemic hypoperfusion and pulmonary congestion. Patients may complain of breathlessness during exertion or sleep, and physical assessment might reveal cold limbs, neck vein distension, and lung crackles. A structured ICU strategy for LVF involves not only stabilizing the acute episode but also mitigating modifiable triggers and concurrent diseases to reduce recurrent admissions and improve survival [1–3] [Ref: Algorithm 67.1].