Discusses the incidence and hemodynamic consequences of right ventricular infarction in the setting of inferior myocardial infarction.
Hemodynamically important right ventricular myocardial infarction is an infrequent consequence of inferior myocardial infarction.1 The clinical triad of hypotension, clear lung fields, and elevated jugular venous pressure occurs in less than 10 percent of patients presenting with acute inferior myocardial infarction. However, the hemodynamic signs of right ventricular infarction can be induced by volume loading in an additional 20 percent of patients.2 Thus, there are considerably fewer cases of right ventricular dysfunction resulting from occlusion of the right coronary artery than there are cases of left ventricular dysfunction resulting from occlusion of the left coronary artery. Furthermore, right ventricular function . . .
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Louis J. Dell’Italia (1998) studied this question.
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