Chest
Selected ReportsRapid Hemodynamic Improvement in Right Ventricular Infarction After Coronary Angioplasty
Section snippets
Case Report
A 53-year old white man presented to the Emergency Room of Robert Wood Johnson University Hospital complaining of substernal chest pain for approximately 30 minutes, accompanied by diaphoresis, and lightheadedness. He denied previous history of chest pain or other cardiac history. He had had hypertension for ten years and a 35 pack-year history of smoking. His medications included metoprolol, 100 mg daily and thiazide, 25 mg daily. On arrival, an electrocardiogram showed ST-segment elevation in
Discussion
Although right ventricular infarction has been described for many years at autopsy, the hemodynamic impact was not well recognized until the report of Cohn et al4 in 1974. Since it is essential to recognize early signs of predominant right ventricular infarction because it may require a unique form of therapy, several clinical and electrocardiographic studies have attempted to detect right ventricular involvement in acute myocardial infarction.5
Necrosis of a large proportion of the right
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Electrocardiographic changes associated with isolated right ventricular infarction
J Am Coll Cardiol
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Nondominant right coronary artery occlusion presenting with isolated right ventricular infarction and ventricular fibrillation
Am J Med
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Cited by (14)
Right ventricular infarction
1992, Cardiology ClinicsV guidelines of the brazilian society of cardiology on acute myocardial infarction treatment with st segment elevation
2015, Arquivos Brasileiros de CardiologiaAcute complications of myocardial infarction
2009, Echocardiography in Acute Coronary Syndrome: Diagnosis, Treatment and PreventionThe 4th Guidelines on the Treatment of Acute ST-segment Elevation Myocardial Infarction of the Brazilian Society of Cardiology
2009, Arquivos Brasileiros de CardiologiaInstructions on the treatment of acute myocardial infarction
2004, Arquivos Brasileiros de Cardiologia