| Right ventricular infarction: specific requirements of management. | |
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MedLine Citation:
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PMID: 10537387 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The principal cause of right ventricular infarction is atherosclerotic proximal occlusion of the right coronary artery. Proximal occlusion of this artery leads to electrocardiographically identifiable right-heart ischemia and an increased risk of death in the presence of acute inferior infarction. Clinical recognition begins with the ventricular electrocardiographic manifestations: inferior left ventricular ischemia (ST segment elevation in leads II, III and aVF), with or without accompanying abnormal Q waves and right ventricular ischemia (ST segment elevation in right chest leads V3R through V6R and ST segment depression in anterior leads V2 through V4). Associated findings may include atrial infarction (PR segment displacement, elevation or depression in leads II, III and aVF), symptomatic sinus bradycardia, atrioventricular node block and atrial fibrillation. Hemodynamic effects of right ventricular dysfunction may include failure of the right ventricle to pump sufficient blood through the pulmonary circuit to the left ventricle, with consequent systemic hypotension. Management is directed toward recognition of right ventricular infarction, reperfusion, volume loading, rate and rhythm control, and inotropic support. |
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Authors:
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L G Horan; N C Flowers |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: American family physician Volume: 60 ISSN: 0002-838X ISO Abbreviation: Am Fam Physician Publication Date: 1999 Oct |
Date Detail:
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Created Date: 1999-11-04 Completed Date: 1999-11-04 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 1272646 Medline TA: Am Fam Physician Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1727-34 Citation Subset: AIM; IM |
Affiliation:
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Department of Veterans Affairs Medical Center, Augusta, Georgia, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Combined Modality Therapy Diagnosis, Differential Electrocardiography Humans Myocardial Infarction / complications, diagnosis*, physiopathology, therapy* Prognosis Stroke Volume Ventricular Dysfunction, Right / etiology*, physiopathology* Ventricular Function, Left Ventricular Function, Right |
| Comments/Corrections | |
Comment In:
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Am Fam Physician. 1999 Oct 15;60(6):1640, 1649
[PMID:
10537378
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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