Bedside recognition, incidence and clinical course of right ventricular infarction.
Am J Cardiol
; 47(2): 224-7, 1981 Feb.
Article
en En
| MEDLINE
| ID: mdl-7468470
To evaluate the incidence, clinical characteristics and course of right ventricular infarction, 96 patients with an established diagnosis of acute myocardial infarction were evaluated during a 10 month study period. Of the 44 patients with acute inferior wall myocardial infarction, 16 had bedside evidence of right ventricular dysfunction. All had a positive Kussmaul's sign, and 12 had either a right ventricular third or fourth heart sound. Inspiratory elevation of right atrial and right ventricular end-diastolic pressures was documented in nine patients. Ventricular fibrillation developed in one patient and advanced atrioventricular block in three. All 16 patients survived and were alive 3 months after infarction. The hospital course and 3 month survival rate were not different from those of the usual patient with inferior wall infarction. Approximately one third of the patients with inferior wall myocardial infarction have bedside evidence of right ventricular infarction, which usually does not alter short-term prognosis.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Examen Físico
/
Infarto del Miocardio
Tipo de estudio:
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Caribe
/
Puerto rico
Idioma:
En
Revista:
Am J Cardiol
Año:
1981
Tipo del documento:
Article
Pais de publicación:
Estados Unidos