Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Right ventricular infarction associated with anteroseptal myocardial infarction: A clinicopathologic study of nine cases
Autore:
Tahirkheli, NK; Edwards, WD; Nishimura, RA; Holmes, DR;
Indirizzi:
Mayo Clin & Mayo Fdn, Div Anat Pathol, Rochester, MN 55905 USA Mayo Clin &Mayo Fdn Rochester MN USA 55905 thol, Rochester, MN 55905 USA Mayo Clin & Mayo Fdn, Div Cardiovasc Dis & Internal Med, Rochester, MN 55905 USA Mayo Clin & Mayo Fdn Rochester MN USA 55905 Med, Rochester, MN 55905 USA
Titolo Testata:
CARDIOVASCULAR PATHOLOGY
fascicolo: 3, volume: 9, anno: 2000,
pagine: 175 - 179
SICI:
1054-8807(200005/06)9:3<175:RVIAWA>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY HEART-DISEASE; FREQUENCY; DIAGNOSIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Edwards, WD Mayo Clin & Mayo Fdn, Div Anat Pathol, 200 1st St SW, Rochester, MN 55905 USA Mayo Clin & Mayo Fdn 200 1st St SW Rochester MN USA 55905 USA
Citazione:
N.K. Tahirkheli et al., "Right ventricular infarction associated with anteroseptal myocardial infarction: A clinicopathologic study of nine cases", CARDIO PATH, 9(3), 2000, pp. 175-179

Abstract

The association of right ventricular (RV) infarction with inferoseptal myocardial infarction is well established. However, a question remains about the occurrence of RV infarction in association with anteroseptal myocardial infarction. To determine the frequency and clinical correlates of this entity, we studied autopsied hearts from patients with isolated anteroseptal left ventricular (LV) infarcts. Among 3,249 autopsy specimens, 88 cases were identified. From each, sections were taken from the RV anterior, lateral, and inferior regions at basal, middle, and apical levels. All 1,584 slides were reviewed by blinded assessment. RV and LV infarcts were compared to confirm similarity in age. Patient records and cardiac investigations were reviewed for evidence of RV involvement. Of the 88 hearts with anteroseptal LVinfarcts, 9 (10%) had coexistent RV infarction (6, old; 3, new). For these9, the RV infarction involved 11% to 33% of the RV area, and the left anterior descending coronary artery was the infarct-related artery in each. All3 patients who had an echocardiographic examination within 4 weeks of anteroseptal LV infarction had RV dysfunction. One patient, studied 15 years after infarction, had a normal right ventricle by echocardiography. In 3 patients with acute myocardial infarction, right heart catheterization during the acute phase revealed increased right-sided diastolic pressures out of proportion to left-sided diastolic pressures (right atrial pressure to pulmonary capillary wedge pressure, 60% to 95%). In conclusion, 10% of patients with an isolated anteroseptal LV infarct had evidence of RV free wall infarction. The RV infarction was associated with identifiable hemodynamic and echocardiographic features. Cardiovasc Pathol 2000;9:175-179 (C) 2000 by Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 16/07/20 alle ore 19:45:49