| Refractory hypoxemia in right ventricular infarction: a case report. | |
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MedLine Citation:
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PMID: 16466127 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Right ventricular infarction has many clinical features. Although hypoxemia is a common presenting symptom with multiple causes in the setting of myocardial infarction, the authors present a case resulting from an acute right-to-left shunt secondary to a previously dormant patent foramen ovale. A 74-year-old male presented to the hospital after feeling unwell for the previous 2 days. Initial evaluation revealed marked hypoxemia without respiratory distress. Electrocardiographic findings and cardiac seromarkers revealed a completed inferior myocardial infarction. The patient's hypoxemia was refractory to 100% oxygen, indicating a right-to-left shunt. A transesophageal echocardiogram confirmed clinical suspicions for a right-to-left shunt through a patent foramen ovale. Despite sporadic reports in the literature, this still is a poorly recognized clinical condition. The authors review a case report that will enable the general intemist to consider a right-to-left shunt in the setting of hypoxemia in myocardial infarction. |
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Authors:
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Lindsay C Crawford; Mukta Panda; Suresh Enjeti |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Southern medical journal Volume: 99 ISSN: 0038-4348 ISO Abbreviation: South. Med. J. Publication Date: 2006 Jan |
Date Detail:
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Created Date: 2006-02-09 Completed Date: 2006-02-21 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0404522 Medline TA: South Med J Country: United States |
Other Details:
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Languages: eng Pagination: 79-81 Citation Subset: AIM; IM |
Affiliation:
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Department of Medicine, Pulmonary Division, University of Tennessee College of Medicine-Chattanooga Unit, 960 East Third Street, Suite 208, Chattanooga, TN 37403, USA. lindsay_craw@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anoxia / blood, diagnosis, etiology* Blood Gas Analysis Echocardiography, Transesophageal Electrocardiography Follow-Up Studies Heart Septal Defects, Atrial / blood, complications, ultrasonography Heart Ventricles Humans Male Myocardial Infarction / blood, complications*, diagnosis |
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