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Right Ventricular Diastolic Dysfunction: “The Missing Link”

2020; Elsevier BV; Volume: 35; Issue: 3 Linguagem: Inglês

10.1053/j.jvca.2020.10.052

1532-8422

Tzonghuei Chen, Andrew Maslow,

Congenital Heart Disease Studies

William Harvey, in his 72-page manuscript presented in 1628, "Exercitatio Anatomica de Motu Cordis et Sanguinis in Animalibus" or "An Anatomical Exercise on the Motion of the Heart and Blood in Living Beings," recognized that pulsatile flow through the arterial vessels was coordinated with the contraction of the heart muscle. Harvey described a "double circulation" where "… the blood, forced by the action of the left ventricle into the arteries, was distributed to the body at large, and its several parts, in the same manner as it is sent through the lungs, impelled by the right ventricle into the pulmonary artery."1,2When she [mother nature] ordained that the same blood should also percolate the lungs, saw herself obliged to add the right ventricle, the pulse of which should force the blood from the vena cava through the lungs into the cavity of the left ventricle.