Right ventricular myocardial ischemia can present unusually with signs of acute anterior MI, and ergonovine provocation during catheterization can help diagnose right coronary artery spasm.
May prompt ergonovine testing in atypical RV ischemia mimics; hypothesis-generating and leaves broader applicability open.
Electrocardiographs presentation of right ventricular myocardial ischemia can be varied but usually involves signs of inferior myocardial infarction (Ml) or ischemia. We present a case of a young male with an electrocardiogram consistent with an acute anterior MI successfully treated with thrombolytic therapy. Subsequent cardiac catheterization revealed complex coronary anatomy. Ergonovine maleate infusion and continuous 12‐lead electrocardiogram (ECG) monitoring in the catheterization laboratory allowed us to make the diagnosis of spasm of the right coronary artery and right ventricular branch as the cause of this patient's symptoms.
No takes yet. Share an insight, caveat, or question.
Farrell et al. (1998) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: