Document Detail


An unusual complication of acute myocardial infarction.
MedLine Citation:
PMID:  6907269     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Right ventricular infarction occurs exclusively as a complication of a transmural inferoseptal left ventricular infarction. Up to 50% of patients with transmural inferoseptal infarction may have associated right ventricular involvement. In the majority of cases, however, the right ventricular involvement is clinically silent. However, significant right ventricular infarction is being recognized with greater frequency. Clinically, distended neck veins and hypotension are frequent findings in acute right ventricular infarction and their presence should suggest the diagnosis. Damage to the right ventricle causes poor contractility and output, and thus the right ventricle functions more as a passive conduit to the left ventricle. The patient should lie with the bed flat to improve volume return to the right and left ventricles. Volume expansion is used when left ventricular filling pressure is low and there is clinical evidence of poor peripheral perfusion.
Authors:
M B Nissen; L Lemberg
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  10     ISSN:  0147-9563     ISO Abbreviation:  Heart Lung     Publication Date:    1981 Mar-Apr
Date Detail:
Created Date:  1981-05-13     Completed Date:  1981-05-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  336-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Pressure
Electrocardiography
Female
Heart Rate
Humans
Myocardial Infarction / complications*,  physiopathology

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


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