Document Detail


Right ventricular infarction.
MedLine Citation:
PMID:  8139631     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Right ventricular infarction complicates up to half of inferior left ventricular infarctions. The term represents a spectrum of disease from mild, asymptomatic right ventricular dysfunction to cardiogenic shock, and it includes transient ischemic myocardial dysfunction as well as myocardial necrosis. Right ventricular infarction is associated with considerable morbidity and mortality, and its presence defines a high-risk subgroup of patients with inferior left ventricular infarction. Diagnosis of this condition requires a high degree of suspicion based on clinical findings and the early recording of the electrocardiogram through right precordial leads, as well as elevated right-sided filling pressures out of proportion to left-sided filling pressures. The proper management of right ventricular infarction requires sustaining adequate right ventricular preload with volume loading and maintenance of atrioventricular synchrony, reduction of right ventricular afterload (particularly when left ventricular dysfunction is present), and inotropic support of the right ventricle. Early reperfusion with fibrinolytic therapy or direct angioplasty is also warranted. Survivors of right ventricular infarction generally have a restoration of normal right ventricular function with resolution of hemodynamic abnormalities.
Authors:
J W Kinch; T J Ryan
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The New England journal of medicine     Volume:  330     ISSN:  0028-4793     ISO Abbreviation:  N. Engl. J. Med.     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-04-28     Completed Date:  1994-04-28     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0255562     Medline TA:  N Engl J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1211-7     Citation Subset:  AIM; IM    
Affiliation:
Evans Memorial Department of Clinical Research, Boston University Medical Center, MA 02118.
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MeSH Terms
Descriptor/Qualifier:
Echocardiography
Electrocardiography
Humans
Myocardial Infarction / diagnosis,  physiopathology*,  therapy
Prognosis
Ventricular Function, Right*
Comments/Corrections
Comment In:
N Engl J Med. 1994 Sep 8;331(10):681   [PMID:  8052287 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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