Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Right Ventricular Myocardial Infarction

Right Ventricular Myocardial Infarction Abstract Perhaps the most important point concerning right ventricular myocardial infarction is to be alert for its occurrence. Approximately one fifth of all infarctions and one third of all inferior infarctions have some right ventricular involvement. All right ventricular infarcts are probably associated with inferior left ventricular infarctions. The correct diagnosis alters the treatment of a patient with a low cardiac-output state that complicates the acute infarction. The prognosis after a right ventricular myocardial infarction would seem to be related to the degree of left ventricular dysfunction associated with the original infarction. Back to top Article Information Reprint requests to Cardiovascular Service, VA Medical Center, 4500 S Lancaster Rd, Dallas, TX 75216 (Dr Nixon). This study was supported by National Institutes of Health Lung Center Award L4-14187, Bethesda, Md, and the Veterans Administration, Dallas. Lucy Pittman provided secretarial assistance. References 1. Lisa JR, Ring A: Myocardial infarction or gross fibrosis: Analysis of 100 necropsies. Arch Intern Med. 1932;50:131-141.Google ScholarCrossref 2. Applebaum E, Nicolson GHB: Occlusive diseases of the coronary arteries: An analysis of the pathological anatomy in 168 cases, with electrocardiographic correlation in 36 of these. Am Heart J. 1934;10:662-680.Google ScholarCrossref 3. Bean WB: Infarction of the heart: III. Clinical course and morphological findings. Ann Intern Med. 1938;12:71-98. PubMedGoogle ScholarCrossref 4. Yater WM, Traum AH, Springs S, et al: Coronary artery disease in men 18 to 39 years of age: Report of 186 cases, 450 with necropsy examination. Am Heart J. 1948;36:683-722.Google ScholarCrossref 5. Wartman WB, Hellerstein HK: The incidence of heart disease in 2,000 consecutive autopsies. Ann Intern Med. 1948;28:41-61. PubMedGoogle ScholarCrossref 6. Myers GB, Klein HA, Hiratzka T: Correlation of electrocardiographic and pathologic findings in infarction of the interventricular septum and right ventricle. Am Heart J. 1949;37:720-770. PubMedGoogle ScholarCrossref 7. Erhardt LR: Clinical and pathological observations in different types of acute myocardial infarction: A study of 84 patients deceased after treatment in a coronary care unit. Acta Med Scand. 1974;26(suppl):7-78.Google Scholar 8. Isner JM, Roberts WC: Right ventricular infarction complicating left ventricular infarction secondary to coronary artery disease. Am J Cardiol. 1978;42:885-894. PubMedGoogle ScholarCrossref 9. Ratliff NB, Hackel DB: Combined right and left ventricular infarction: Pathogenesis and clinicopathologic correlations. Am J Cardiol. 1980;45:217-221. PubMedGoogle ScholarCrossref 10. Cohn JN, Guiha NH, Broder MI, et al: Right ventricular infarction: Clinical and hemodynamic features. Am J Cardiol. 1974;33:209-214. PubMedGoogle ScholarCrossref 11. Rigo P, Murray M, Taylor DR, et al: Right ventricular dysfunction detected by gated scintigraphy in patients with acute inferior myocardial infarction. Circulation. 1975;52:268-274. PubMedGoogle ScholarCrossref 12. Erhardt LR, Sjögren A, Waulberg I: Single right-sided pericardial lead in the diagnosis of right ventricular involvement in inferior myocardial infarction. Am Heart J. 1976;91:571-576.Google ScholarCrossref 13. Wackers FJ, Lie KI, Sokole EB, et al: Prevalence of right ventricular involvement in inferior wall infarction assessed with myocardial imaging with thallium-201 and technetium-99m pyrophosphate. Am J Cardiol. 1978;42:358-362. PubMedGoogle ScholarCrossref 14. Sharpe DN, Botvinick EH, Shames DM, et al: The noninvasive diagnosis of right ventricular infarction. Circulation. 1978;57:483-490.Google ScholarCrossref 15. Lorell B, Leinbach RC, Phost GM, et al: Right ventricular infarction: Clinical diagnosis and differentiation from cardiac tamponade and pericardial constriction. Am J Cardiol. 1979;43:465-471. PubMedGoogle ScholarCrossref 16. Citron GB, Hernandez E, Linares E, et al: Bedside recognition, incidence and clinical course of right ventricular infarction. Am J Cardiol. 1981;47:224-227. PubMedGoogle ScholarCrossref 17. Coma-Canella I, Lopez-Sendon J, Gamallo C: Low output syndrome in right ventricular infarction. Am Heart J. 1979;98:613-620. PubMedGoogle ScholarCrossref 18. Wade WG: The pathogenesis of infarction of the right ventricle. Br Heart J. 1959;21:545-554. PubMedGoogle ScholarCrossref 19. Ratliff NB, Peter RH, Ramo BW, et al: A model for the production of right ventricular infarction. Am J Pathol. 1970;58:471-479. PubMedGoogle Scholar 20. Peter RH, Ramo BW, Ratliff N, et al: Collateral vessel development after right ventricular infarction in the pig. Am J Cardiol. 1972;29:56-60. PubMedGoogle ScholarCrossref 21. Guiha NH, Limas Constantinos J, Cohn JN: Predominant right ventricular dysfunction after right ventricular destruction in the dog. Am J Cardiol. 1974;33:254-258. PubMedGoogle ScholarCrossref 22. Raabe DS, Chester AC: Right ventricular infarction. Chest. 1978;73:96-99.Google ScholarCrossref 23. Chou TC, Van Der Bel-Kahn J, Allen J, et al: Electrocardiographic diagnosis of right ventricular infarction. Am J Med. 1981;70:1175-1180.Google ScholarCrossref 24. Rotman M, Wagner GS, Wallace AG: Bradyarrhythmias in acute myocardial infarction. Circulation. 1972;45:703-722.Google ScholarCrossref 25. Biddle TL, Ehrich DA, Yu PN, et al: Relation of heart block and left ventricular dysfunction in acute myocardial infarction. Am J Cardiol. 1977;39:961-966. PubMedGoogle ScholarCrossref 26. Nixon JV, Narahara K, Smitherman TC: Estimation of myocardial involvement in patients with acute myocardial infarction by two-dimensional echocardiography. Circulation. 1980;62:1248-1255. PubMedGoogle ScholarCrossref 27. Coma-Canella I, Lopez-Sendon J: Ventricular compliance in ischemic right ventricular dysfunction. Am J Cardiol. 1980;45:555-560. PubMedGoogle ScholarCrossref 28. Nader DA, Cerreto WJ, Vieweg WVR: Atrial pacing in the management of right ventricular infarction. South Med J. 1981;74:362-363. PubMedGoogle ScholarCrossref 29. Korr KS, Levinson H, Bough EW, et al: Tricuspid valve replacement for cardiogenic shock after acute right ventricular infarction. JAMA. 1980;244:1958-1960. PubMedGoogle ScholarCrossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Right Ventricular Myocardial Infarction

Archives of Internal Medicine , Volume 142 (5) – May 1, 1982

Loading next page...
 
/lp/american-medical-association/right-ventricular-myocardial-infarction-jfIDPbOn0s
Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340180103020
Publisher site
See Article on Publisher Site

Abstract

Abstract Perhaps the most important point concerning right ventricular myocardial infarction is to be alert for its occurrence. Approximately one fifth of all infarctions and one third of all inferior infarctions have some right ventricular involvement. All right ventricular infarcts are probably associated with inferior left ventricular infarctions. The correct diagnosis alters the treatment of a patient with a low cardiac-output state that complicates the acute infarction. The prognosis after a right ventricular myocardial infarction would seem to be related to the degree of left ventricular dysfunction associated with the original infarction. Back to top Article Information Reprint requests to Cardiovascular Service, VA Medical Center, 4500 S Lancaster Rd, Dallas, TX 75216 (Dr Nixon). This study was supported by National Institutes of Health Lung Center Award L4-14187, Bethesda, Md, and the Veterans Administration, Dallas. Lucy Pittman provided secretarial assistance. References 1. Lisa JR, Ring A: Myocardial infarction or gross fibrosis: Analysis of 100 necropsies. Arch Intern Med. 1932;50:131-141.Google ScholarCrossref 2. Applebaum E, Nicolson GHB: Occlusive diseases of the coronary arteries: An analysis of the pathological anatomy in 168 cases, with electrocardiographic correlation in 36 of these. Am Heart J. 1934;10:662-680.Google ScholarCrossref 3. Bean WB: Infarction of the heart: III. Clinical course and morphological findings. Ann Intern Med. 1938;12:71-98. PubMedGoogle ScholarCrossref 4. Yater WM, Traum AH, Springs S, et al: Coronary artery disease in men 18 to 39 years of age: Report of 186 cases, 450 with necropsy examination. Am Heart J. 1948;36:683-722.Google ScholarCrossref 5. Wartman WB, Hellerstein HK: The incidence of heart disease in 2,000 consecutive autopsies. Ann Intern Med. 1948;28:41-61. PubMedGoogle ScholarCrossref 6. Myers GB, Klein HA, Hiratzka T: Correlation of electrocardiographic and pathologic findings in infarction of the interventricular septum and right ventricle. Am Heart J. 1949;37:720-770. PubMedGoogle ScholarCrossref 7. Erhardt LR: Clinical and pathological observations in different types of acute myocardial infarction: A study of 84 patients deceased after treatment in a coronary care unit. Acta Med Scand. 1974;26(suppl):7-78.Google Scholar 8. Isner JM, Roberts WC: Right ventricular infarction complicating left ventricular infarction secondary to coronary artery disease. Am J Cardiol. 1978;42:885-894. PubMedGoogle ScholarCrossref 9. Ratliff NB, Hackel DB: Combined right and left ventricular infarction: Pathogenesis and clinicopathologic correlations. Am J Cardiol. 1980;45:217-221. PubMedGoogle ScholarCrossref 10. Cohn JN, Guiha NH, Broder MI, et al: Right ventricular infarction: Clinical and hemodynamic features. Am J Cardiol. 1974;33:209-214. PubMedGoogle ScholarCrossref 11. Rigo P, Murray M, Taylor DR, et al: Right ventricular dysfunction detected by gated scintigraphy in patients with acute inferior myocardial infarction. Circulation. 1975;52:268-274. PubMedGoogle ScholarCrossref 12. Erhardt LR, Sjögren A, Waulberg I: Single right-sided pericardial lead in the diagnosis of right ventricular involvement in inferior myocardial infarction. Am Heart J. 1976;91:571-576.Google ScholarCrossref 13. Wackers FJ, Lie KI, Sokole EB, et al: Prevalence of right ventricular involvement in inferior wall infarction assessed with myocardial imaging with thallium-201 and technetium-99m pyrophosphate. Am J Cardiol. 1978;42:358-362. PubMedGoogle ScholarCrossref 14. Sharpe DN, Botvinick EH, Shames DM, et al: The noninvasive diagnosis of right ventricular infarction. Circulation. 1978;57:483-490.Google ScholarCrossref 15. Lorell B, Leinbach RC, Phost GM, et al: Right ventricular infarction: Clinical diagnosis and differentiation from cardiac tamponade and pericardial constriction. Am J Cardiol. 1979;43:465-471. PubMedGoogle ScholarCrossref 16. Citron GB, Hernandez E, Linares E, et al: Bedside recognition, incidence and clinical course of right ventricular infarction. Am J Cardiol. 1981;47:224-227. PubMedGoogle ScholarCrossref 17. Coma-Canella I, Lopez-Sendon J, Gamallo C: Low output syndrome in right ventricular infarction. Am Heart J. 1979;98:613-620. PubMedGoogle ScholarCrossref 18. Wade WG: The pathogenesis of infarction of the right ventricle. Br Heart J. 1959;21:545-554. PubMedGoogle ScholarCrossref 19. Ratliff NB, Peter RH, Ramo BW, et al: A model for the production of right ventricular infarction. Am J Pathol. 1970;58:471-479. PubMedGoogle Scholar 20. Peter RH, Ramo BW, Ratliff N, et al: Collateral vessel development after right ventricular infarction in the pig. Am J Cardiol. 1972;29:56-60. PubMedGoogle ScholarCrossref 21. Guiha NH, Limas Constantinos J, Cohn JN: Predominant right ventricular dysfunction after right ventricular destruction in the dog. Am J Cardiol. 1974;33:254-258. PubMedGoogle ScholarCrossref 22. Raabe DS, Chester AC: Right ventricular infarction. Chest. 1978;73:96-99.Google ScholarCrossref 23. Chou TC, Van Der Bel-Kahn J, Allen J, et al: Electrocardiographic diagnosis of right ventricular infarction. Am J Med. 1981;70:1175-1180.Google ScholarCrossref 24. Rotman M, Wagner GS, Wallace AG: Bradyarrhythmias in acute myocardial infarction. Circulation. 1972;45:703-722.Google ScholarCrossref 25. Biddle TL, Ehrich DA, Yu PN, et al: Relation of heart block and left ventricular dysfunction in acute myocardial infarction. Am J Cardiol. 1977;39:961-966. PubMedGoogle ScholarCrossref 26. Nixon JV, Narahara K, Smitherman TC: Estimation of myocardial involvement in patients with acute myocardial infarction by two-dimensional echocardiography. Circulation. 1980;62:1248-1255. PubMedGoogle ScholarCrossref 27. Coma-Canella I, Lopez-Sendon J: Ventricular compliance in ischemic right ventricular dysfunction. Am J Cardiol. 1980;45:555-560. PubMedGoogle ScholarCrossref 28. Nader DA, Cerreto WJ, Vieweg WVR: Atrial pacing in the management of right ventricular infarction. South Med J. 1981;74:362-363. PubMedGoogle ScholarCrossref 29. Korr KS, Levinson H, Bough EW, et al: Tricuspid valve replacement for cardiogenic shock after acute right ventricular infarction. JAMA. 1980;244:1958-1960. PubMedGoogle ScholarCrossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: May 1, 1982

Keywords: right ventricular infarction,ventricular dysfunction, left,infarction,cardiac output,heart ventricle,left ventricle

References