Document Detail

Right ventricular infarction.
MedLine Citation:
PMID:  1739961     Owner:  NLM     Status:  MEDLINE    
Right ventricular myocardial infarction, long unrecognized because of a lack of diagnostic methods and unsupported beliefs regarding the dispensability of the right ventricle, may now be diagnosed using well-accepted criteria. Right ventricular infarction is clearly associated with anterior left ventricular infarction as well as inferior infarction. It may occur in 30% to 40% of patients with inferior infarction, although a much smaller percentage experience hemodynamic instability on the basis of right ventricular infarction. Pathophysiologically, right ventricular systolic and diastolic dysfunction are exacerbated by pericardial restraint and concomitant left ventricular dysfunction, accounting for the characteristic findings of cardiogenic shock and marked preload dependence in many patients. Right ventricular infarction may be suspected on the grounds of clinical presentation, physical examination, and enzymatic findings, and is confirmed using well-defined electrocardiographic, radionuclide, echocardiographic, and hemodynamic criteria. Once diagnosed, right ventricular infarction requires specific hemodynamic and pharmacologic management, including the judicious use of volume expansion and inotropic support. Several forms of mechanical and surgical intervention are of therapeutic value in treating hemodynamic disturbances and recognized complications. With appropriate management, the prognosis for patients with right ventricular infarction is generally favorable.
J F Setaro; H S Cabin
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Cardiology clinics     Volume:  10     ISSN:  0733-8651     ISO Abbreviation:  Cardiol Clin     Publication Date:  1992 Feb 
Date Detail:
Created Date:  1992-03-20     Completed Date:  1992-03-20     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8300331     Medline TA:  Cardiol Clin     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  69-90     Citation Subset:  IM    
Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
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MeSH Terms
Diagnosis, Differential
Heart Ventricles / pathology
Myocardial Infarction* / diagnosis,  therapy
Ventricular Function, Right*

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