Document Detail


Cardiogenic shock due to isolated right ventricular infarction in an elderly woman.
MedLine Citation:
PMID:  16897930     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 78-year-old hypertensive woman with no prior history of ischemic heart disease arrived at the hospital complaining of weakness and profound fatigue. Four days earlier, she had experienced substernal chest pain associated with nausea and vomiting. A standard 12-lead electrocardiogram showed marked ST-segment elevation and negative T waves in leads V1 and V2. The patient was treated with anti-thrombotic therapy, dobutamine and dopamine infusions. Angiography showed proximal occlusion of a small, non-dominant right coronary artery and no clinically significant disease in the left coronary artery. Isolated right ventricular infarction accounted for the cardiogenic shock in this elderly patient. She received conservative medical treatment and was discharged in good condition.
Authors:
John Kanakakis; Eleftheria P Tsagalou; Maria I Anastasiou-Nana
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hellenic journal of cardiology : HJC = Hellēnikē kardiologikē epitheōrēsē     Volume:  47     ISSN:  1109-9666     ISO Abbreviation:  -     Publication Date:    2006 Jul-Aug
Date Detail:
Created Date:  2006-08-10     Completed Date:  2006-12-19     Revised Date:  2009-02-12    
Medline Journal Info:
Nlm Unique ID:  101257381     Medline TA:  Hellenic J Cardiol     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  242-4     Citation Subset:  IM    
Affiliation:
University ofAthens School of Medicine, Department of Clinical Therapeutics, Alexandra Hospital, Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Angiography
Coronary Stenosis / complications,  diagnosis
Echocardiography
Electrocardiography
Female
Heart Catheterization
Heart Ventricles
Humans
Myocardial Infarction / complications*,  diagnosis*,  etiology,  physiopathology,  radiography
Shock, Cardiogenic / diagnosis,  etiology*

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