The spectrum of right ventricular involvement in inferior wall myocardial infarction: a clinical, hemodynamic and noninvasive study

Journal Article · Wed Jun 01 00:00:00 EDT 1983 · J. Am. Coll. Cardiol.; (United States)

DOI:https://doi.org/10.1016/S0735-1097(83)80042-4· OSTI ID:5589314

Baigrie, R S; Haq, A; Morgan, C D; Rakowski, H; Drobac, M; McLaughlin, P

The clinical experience with 37 patients with acute transmural inferior wall myocardial infarction who were assessed for evidence of right ventricular involvement is reported. On the basis of currently accepted hemodynamic criteria, 29 patients (78%) had evidence suggestive of right ventricular infarction. However, only 5 (20%) of 25 patients demonstrated right ventricular uptake of technetium pyrophosphate on scintigraphy. Two-dimensional echocardiography or isotope nuclear angiography, or both, were performed in 32 patients; 20 studies (62%) showed evidence of right ventricular wall motion disturbance or dilation, or both. Twenty-one patients demonstrated a late inspiratory increase in the jugular venous pressure (Kussmaul's sign). The presence of this sign in the clinical setting of inferior wall myocardial infarction was predictive for right ventricular involvement in 81% of the patients in this study. It is suggested that right ventricular involvement in this clinical setting is common and includes not only infarction but also dysfunction without detectable infarction, which is likely on an ischemic basis.

• Research Organization: Coronary Intensive Care Unit, Toronto General Hospital, University of Toronto, Ontario, Canada
• OSTI ID: 5589314
• Journal Information: J. Am. Coll. Cardiol.; (United States), Vol. 1:6
• Country of Publication: United States
• Language: English

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62 RADIOLOGY AND NUCLEAR MEDICINE
MYOCARDIAL INFARCTION
DIAGNOSIS
TECHNETIUM
DIAGNOSTIC USES
DYNAMIC FUNCTION STUDIES
ELDERLY PEOPLE
HEART
ISCHEMIA
RADIOCARDIOGRAPHY
ULTRASONOGRAPHY
VEINS
AGE GROUPS
BLOOD VESSELS
BODY
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CARDIOVASCULAR SYSTEM
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DISEASES
ELEMENTS
HUMAN POPULATIONS
METALS
MINORITY GROUPS
ORGANS
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TRANSITION ELEMENTS
USES
VASCULAR DISEASES
550601* - Medicine- Unsealed Radionuclides in Diagnostics