Skip to main content
SpringerLink
Log in
Book cover

The Right Ventricle pp 87–129Cite as

Right Ventricular Myocardial Infarction

  • Chapter

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 83))

Abstract

Prior to the year 1974, ischemic heart disease involving the right ventricle had received little attention. Published investigations were limited to either necropsy {1–3} or experimental {4–7} studies. In that year, however, Cohn et al. suggested that the diagnosis of right ventricular myocardial infarction could be established during life on the basis of certain hemodynamic findings {8}. This prescient observation spawned a plethora of clinical, necropsy, and experimental studies that have both confirmed the correctness of the interpretation offered by Cohn and his coworkers and extended our understanding of the pathophysiology of right ventricular infarction. This chapter attempts to assimilate what has been learned from these studies.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Wartman WB, Hellerstein HK: The incidence of heart disease in 2000 consecutive autopsies. Ann Intern Med 28: 41–65, 1948.

    PubMed  CAS  Google Scholar 

  2. Wade WG: The pathogenesis of infarction of the right ventricle. Br Heart J 21: 545–554, 1959.

    Article  PubMed  CAS  Google Scholar 

  3. Laurie W, Woods JD: Infarction (ischemic fibrosis) in the right ventricle of the heart. Acta Cardiol 18: 399–411, 1959.

    Google Scholar 

  4. Starr I, Jeffers WA, Mead RH: The absence of conspicuous, increments in venous pressure after severe damage to the right ventricle of the dog and a discussion of the relation between clinical congestive failure and heart disease. Am HeartJ 26: 291–301, 1943.

    Article  Google Scholar 

  5. Bakos AC: The question of the function of the right ventricle following extensive damage by cauterization. Circulation 5: 816–823, 1952.

    Google Scholar 

  6. Kagan A: Dynamic responses of the right ventricle following extensive damage by cauterization. Circulation 5: 816–823, 1952.

    PubMed  CAS  Google Scholar 

  7. Peter RH, Ramo BW, Ratliff N, Morris JJ: Collateral vessel development after right ventricular infarction in the pig. Am J Cardiol 29: 56–60, 1972.

    Article  PubMed  CAS  Google Scholar 

  8. Cohn JN, Gwha NH, Broder MI, Limas CJ: Right ventricular infarction. Clinical and hemodynamic features. Am J Cadiol 33: 209–214, 1974.

    Article  CAS  Google Scholar 

  9. Isner JM, Roberts WC: Right ventricular infarction complicating left ventricular infarction secondary to coronary heart disease. Frequency, location, associated findings and significance from analysis of 236 necropsy patients with acute or healed myocardial infarction. Am J Cardiol 42: 885–894, 1978.

    Article  PubMed  CAS  Google Scholar 

  10. Ratliff NB, Hackel DB: Combined right and left ventricular infarction: Pathogenesis and clinicopathologic correlations. Am J Cardiol 45: 217–221, 1980.

    Article  PubMed  CAS  Google Scholar 

  11. Lopez-Sendon J, Coma-Canella I, Gamallo C: Sensitivity and specificity of hemodynamic criteria in the diagnosis of acute right ventricular infarction. Circulation 64: 515–525, 1981.

    Article  PubMed  CAS  Google Scholar 

  12. Braunwald E, Kloner RA: The stunned myocardium-prolonged, postischemic ventricular dysfunction. Circulation 66:1146–1149, 1982 (editorial).

    Article  PubMed  CAS  Google Scholar 

  13. Lloyd EA, Gersh BJ, Kenelly BM: Hemodynamic spectrum of “dominant” right ventricular infarction in 19 patients. Am J Cardiol 48: 1016–1022, 1981.

    Article  PubMed  CAS  Google Scholar 

  14. Forman MB, Goodin J, Phelan B, Kopelman H, Virmani R: Electrocardiographic changes associated with isolated right ventricular infarction. JACC 4: 640–643, 1984.

    PubMed  CAS  Google Scholar 

  15. Hill NS, Ou LC, Isner JM: Experimental production of right ventricular ischemic injury as a consequence of hypoxia-induced pulmonary arterial hypertension. Clin Res (In Press).

    Google Scholar 

  16. Chou TC, Fowler NO, Gabel M, Van Der Bel, Kahn J, Feltner J: Electrocardiographic and hemodynamic changes in experimental right ventricular infarction. Circulation 67: 1258–1267, 1983.

    Article  PubMed  CAS  Google Scholar 

  17. Cabin HS, Clubb S, Wackers FJ, Zaret BL: Right ventricular myocardial infarction with anterior wall left ventricular infarction: An autopsy study. Am Heart J 113: 16–23, 1987.

    Article  PubMed  CAS  Google Scholar 

  18. Weinshel AJ, Isner JM, Salem DN, Konstam MA: The coronary anatomy of right ventricular myocardial infarction: Relationship between the site of right coronary occlusion and origin of the right ventricular free wall branches. Circulation 68: I11–351, 1983.

    Google Scholar 

  19. Braat SH, Brugada P, denDulk K, van Ommen V, Wellens HJ: Value of lead V4R for recognition of the infarct coronary artery in acute inferior myocardial infarction. Am J Cardiol 53: 1538–1541, 1984.

    Article  PubMed  CAS  Google Scholar 

  20. Shah PK, Maddahi J, Berman DS, Pichler M, Swan HJ: Scintigraphically detected predominant right ventricular dysfunction in acute myocardial infarction: clinical and hemodynamic correlates and implications for therapy and prognosis. JACC 6: 1264–1272, 1985.

    PubMed  CAS  Google Scholar 

  21. Gregg DE, Fisher LC: Blood supply to the heart. In Handbook of Physiology, Section 2, Circulation, vol. 2, WF Hamilton, P Dow, eds. Washington DC, American Physiological Society, pp 1517–1584, 1963.

    Google Scholar 

  22. Murray PA, Vatner SF: Fractional contribution of the right and left coronary arteries to perfusion of normal and hypertrophied right ventricles of conscious dogs. Circ Res 47: 190–200, 1980.

    PubMed  CAS  Google Scholar 

  23. Jensen DP, Goolsby JP Jr, Oliva PB: Hemodynamic pattern resembling pericardial constriction after acute inferior myocardial infarction with right ventricular infarction. Am J Cardiol 42: 858–861, 1978.

    Article  PubMed  CAS  Google Scholar 

  24. Parodi O, Marzullo P, Neglia D, Galli M, Distante A, Rovai D, L’Abate A: Transient predominant right ventricular ischemia caused by coronary vasospasm. Circulation 70: 170–177, 1984.

    Article  PubMed  CAS  Google Scholar 

  25. Isner JM, Roberts WC: Pathologic anatomy of acquired ventricular disease. In The Ventricle, HJ Levine, WH Gaasch, eds. Boston, Martinus-Nijhoff, pp 1–40, 1985.

    Google Scholar 

  26. Bouchardy B, Majno G: Histopathology of early myocardial infarcts. A new approach. Am J Path 74: 301–317, 1974.

    PubMed  CAS  Google Scholar 

  27. Isner JM, Fortin RF, Katsas GK, Foster EA: Wavy myocardial fibers: Relation of anatomic distribution to specificity for acute myocardial infarction. Laboratory Investigation 46: 39A, 1982.

    Google Scholar 

  28. Mallory GK, White PD, Salcedo-Salgar J: The speed of healing of myocardial infarction. A study of the pathologic anatomy in seventy-two cases. Am HeartJ 18: 647–671, 1939.

    Article  Google Scholar 

  29. Reimer KA, Lowe JE, Rasmussen MM, Jennings RB: The wave front phenomenon of ischemic cell death. I. Myocardial infarct size versus duration of coronary occlusion in dogs. Circulation 56: 786–794, 1977.

    PubMed  CAS  Google Scholar 

  30. Ohzono K, Koyanagi S, Urabe Y, Harasawa Y, Tomoike H, Nakamura M: Transmural distribution of myocardial infarction: Difference between the right and left ventricles in a canine model. Circ Res 59: 63–73, 1986.

    PubMed  CAS  Google Scholar 

  31. Fixler DE, Archie JP, Ullyot DJ, Buckberg GD, Hoffman JI: Effects of acute right ventricular systolic hypertension on regional myocardial blood flow in anesthetized dogs. Am Heart J 85: 491–500, 1973.

    Article  PubMed  CAS  Google Scholar 

  32. Urabe Y, Tomoike H, Ohzone K, Koyanagi S, Nakamura M: Role of afterload in determining regional right ventricular performance during coronary underperfusion in dogs. Circ Res 57: 96–104, 1985.

    PubMed  CAS  Google Scholar 

  33. Gold FL, Bache RJ: Transmural right ventricular blood flow during acute pulmonary artery hypertension in the sedated dog. Circ Res 51: 196–204, 1982.

    PubMed  CAS  Google Scholar 

  34. Manohar M, Bisgard GE, Bullard V, Rankin JH: Blood flow in the hypertrophied right ventricular myocardium of unanesthetized ponies. Am J Physiol 240 (Heart Circ Physiol 9), 1981.

    Google Scholar 

  35. McNeely WF, Castleman B: Case Records of the Massachusetts General Hospital (Case 42, 1963). 268: 1403–1410, 1963.

    Google Scholar 

  36. Hill NS, Mark EJ: Case Records of the Massachusetts General Hospital (Case 42–1985 ). 313: 1003–1012, 1985.

    Google Scholar 

  37. King TC, Saffitz JE: Acute right ventricular infarction resulting from intracardiac infusion of hyperosmotic hyperalimentation solutions. Am J Cardiol 55: 1659–1660, 1985.

    Article  PubMed  CAS  Google Scholar 

  38. Franciosi RA, Blanc WA: Myocardial infarcts in infants and children. A necropsy study in congenital heart disease. J Pediatr 73: 309–319, 1968.

    Article  PubMed  CAS  Google Scholar 

  39. Carlson EB, Reimer MD, Rankin JS, Peter RH, McCormack KM, Alexander LG: Right ventricular subendocardial infarction in a patient with pulmonary hypertension, right ventricular hypertrophy, and normal coronary arteries. Clin Cardiol 8: 499–502, 1985.

    Article  PubMed  CAS  Google Scholar 

  40. Kopelman HA, Forman MB, Wilson BH, Kolodgie FD, Smith RF, Friesinger GC, Virmani R. Right ventricular myocardial infarction in patients with chronic lung disease: Possible role of right ventriuclar hypertrophy. JACC 5: 1302–1307, 1985.

    PubMed  CAS  Google Scholar 

  41. Horan LG, Flowers NC, Havelda CJ: Relation between right ventricular mass and cavity size: An analysis of 1500 human hearts. Circulation 64: 135–138, 1981.

    Article  PubMed  CAS  Google Scholar 

  42. Erhardt LR: Clinical and pathological observations in different types of acute myocardial infarction. A study of 84 patients deceased after treatment in a coronary care unit. Acta Med Scand (Suppl) 560: 7–78, 1974.

    Google Scholar 

  43. Myers GB, Klein HA, Hiratzka T: Correlations of electrocardiographic and pathologic findings in infarction of the interventricular septum and right ventricle. Am Heart J 37: 720–769, 1949.

    Article  PubMed  CAS  Google Scholar 

  44. Isner JM, Virmani R, Itscoitz SB, Roberts WC: Left and right ventricular myocardial infarction in idiopathic dilated cardiomyopathy. Am Heart 99: 235–242, 1980.

    Article  CAS  Google Scholar 

  45. Rigo P, Murray M, Taylor DR, Weisfeldt MY, Kelly DT, Strauss HW, Pitt B: Right ventricular dysfunction detected by gated scintiphotography in patients with acute inferior myocardial infarction. Circulation 52: 268–274, 1975.

    PubMed  CAS  Google Scholar 

  46. Sharpe DN, Botvinick EH, Shames DM, Schiller NB, Massie BM, Chatterjee K, Parmley WW: The noninvasive diagnosis of right ventricular infarction. Circulation 57: 483–490, 1978.

    PubMed  CAS  Google Scholar 

  47. Lorell B, Leinbach RC, Pohost GM, Gold HK, Dinsmore RE, Hutter AM, Pastore JO, Desanctis RW: Right ventricular infarction. Clinical diagnosis and differentiation from cardiac tamponade and pericardial constriction. Am J Cardiol 43: 465–471, 1979.

    Article  PubMed  CAS  Google Scholar 

  48. Candell-Riera J, Figueras J, Valle V, Alvarez A, Gutierrez L, Cortadellas J, Cinca J, Salas A, Rius J: Right ventricular infarction: Relationships between ST-segment elevation in V4R and hemodynamic, scintigraphic, and echocardiographic findings in patients with acute inferior myocardial infarction. Am Heart J 101: 281–287, 1981.

    Article  PubMed  CAS  Google Scholar 

  49. D’Arcy B, Nanda NC: Two-dimensional echo-cardiographic features of right ventricular infarction. Circulation 65: 167–173, 1982.

    Article  PubMed  Google Scholar 

  50. Sanders AW: Coronary thrombosis with complete heart-block and relative ventricular tachycardia. A case report. Am Heart J 6:820–823, 1930/31.

    Google Scholar 

  51. Cooley DA, Belmonte BA, Zeis LB, Schnur S: Surgical repair of ruptured interventricular septum following acute myocardial infarction. Surgery 41: 930–937, 1957.

    PubMed  CAS  Google Scholar 

  52. Stinson EB, Becker J, Shumway NE: Successful repair of postinfarction ventricular septal defect and biventricular aneurysm. J Thorac Cardiovasc Surg 58: 20–24, 1969.

    PubMed  CAS  Google Scholar 

  53. Daggett WM, Burwell LR, Lawson DW, Austen WG: Resection of acute ventricular aneurysm and ruptured interventricular septum after myocardial infarctions. N EnglJ Med 283: 1507–1508, 1970.

    Article  CAS  Google Scholar 

  54. Shumacher HB: Suggestions concerning operative management of postinfarction septal defects. J Thorac Cardiovasc Surg 64: 452–459, 1972.

    Google Scholar 

  55. Dunaway MC, Dillon ML, Greenfield JC: Repair of postinfarction interventricular septal rupture. Arch Intern Med 122: 147–149, 1968.

    Article  PubMed  CAS  Google Scholar 

  56. Van Tassel RA, Edwards JE: Rupture of heart complicating myocardial infarction. Analysis of 40 cases including nine examples of left ventricular false aneurysm. Chest 61: 104–116, 1972.

    Article  PubMed  Google Scholar 

  57. Graham AF, Stinson EB, Daily PO, Harrison DC: Ventricular septal defects after myocardial infarction. JAMA 225: 708–711, 1973.

    Article  PubMed  CAS  Google Scholar 

  58. Killen DA, McConahay DR, Crockett JE, Reed WA, McCallister BD, Bell HH: Emergency infarctectomy and closure of ruptured interventricular septum. Arch Surg 109: 623–626, 1974.

    PubMed  CAS  Google Scholar 

  59. Crosby IK, Craver JM, Crampton RS, Schrank JP, Wellons HA: Resection of acute posterior ventricular aneurysm with repair of ventricular septal defect after acute myocardial infarction. J Thorac Cardiovasc Surg 70: 57–62, 1975.

    PubMed  CAS  Google Scholar 

  60. Jones EL, Tyras DH, King SB, Logue RB, Hatcher CR: Myocardial revascularization combined with intracoronary infusion of hyperosmolar solution in the early management of postinfarction ventricular septal defect. Circulation 52: 170–176, 1975.

    PubMed  CAS  Google Scholar 

  61. Awan NA, Ikeda R, Olson H, DeMaria AN, Vera Z, Miller RA, Amsterdam EA, Mason DT: Intraventricular communication with intact septum in myocardial infarction. Chest 69: 782–785, 1976.

    Article  PubMed  CAS  Google Scholar 

  62. Daubert JC, Deplace C, Bourdonnec C, Pony JC, Gouffault J: L’infarctus du ventricule droit. 1. Diagnostic hemodynamique-correlations anatomiques. Arch Mal Coeur 70: 243–255, 1977.

    PubMed  CAS  Google Scholar 

  63. Isner JM, Roberts WC: Right ventricular infarction complicating left ventricular infarction: A complication exclusively of posterior wall infarction. Am J Cardiol 41: 409, 1978.

    Article  Google Scholar 

  64. Coma-Canella I, Lopez-Sendon J, Gavallo C: Low output syndrome in right ventricular infarction. Am Heart J 98: 613–620, 1979.

    Article  PubMed  CAS  Google Scholar 

  65. Grose R, Spinmdola-Franco H: Right ventricular dysfunction in acute ventricular septal defect. Am Heart J 101: 67, 1981.

    Article  PubMed  CAS  Google Scholar 

  66. Commeau P, Grollier G, Pelouze GA, Bertrand JH, Lamy E, Couetil JP, Courtheoux P, Pan-gaud P, Feney R, Potier JC: Diagnostic echocardiographique d’une complication mecanique rare de l’infarctus biventriculaire. La rupture de la paroi libre du ventricular droit. Ann Cardiol Angeiol 34: 425–429, 1985.

    CAS  Google Scholar 

  67. Commeau P, Grollier G, Pelouze GA, Bertrand JH, Lamy E, Couetil JP, Courtheoux P, Pan-gaud P, Feney R, Potier JC: Diagnostic echocardiographique d’une complication mecanique rare de l’infarctus biventriculaire. La rupture de la paroi libre du ventricular droit. Ann Cardiol Angeiol 34: 425–429, 1985.

    CAS  Google Scholar 

  68. Edwards BS, Edwards WD, Edwards JE: Ventricular septal rupture complicating acute myocardial infarction: Identification of simple and complex types in 53 autopsied hearts. Am J Cardiol 54: 1201–1205, 1984.

    Article  PubMed  CAS  Google Scholar 

  69. Pandian NG, Isner JM, McInerney KP, Calaeira ME, Funai JT, Wang SS, Ramirez A: Non-invasive assessment of the complicated myocardial infarction: Use of Doppler and twodimensional echocardiography to differentiate ventricular septal rupture from rupture of mitral apparatus. Echocardiography 2: 329–366, 1985.

    Google Scholar 

  70. Moore CA, Nygaard TW, Kaiser DL, Cooper AA, Gibson RS: Postinfarction ventricular septal rupture: The importance of location of infarction and right ventricular function in determining survival. Circulation 74: 45–55, 1986.

    Article  PubMed  CAS  Google Scholar 

  71. Isner J, Roberts WC: Double rupture of the heart: A consequence of the unique pathology of right ventricular myocardial infarction. Circulation 68: 111–392, 1983.

    Google Scholar 

  72. Fluck DC, Valentine B, Treister B, Higgs B, Reid DN, Steiner RE, Mounsey JPD: Right heart pressures in acute myocardial infarction. Br Heart} 29: 748–757, 1967.

    Article  CAS  Google Scholar 

  73. Lassers BW, George M, Anderton JL, Higgins MR, Philp T: Left ventricular failure in acute myocardial infarction. Am} Cardiol 25: 511–522, 1970.

    Article  CAS  Google Scholar 

  74. Hamosh P, Cohn JN: Left ventricular function in acute myocardial infarction. J Clin Invest 50: 523–533, 1971.

    Article  PubMed  CAS  Google Scholar 

  75. Al-Sadir, Falicov R, Zahavi I, Brooks H, Resnekov L: Right ventricular dysfunction in acute inferior myocardial infarction. Circulation IV - 59, 1973.

    Google Scholar 

  76. Rotman M, Ratliff NB, Hawley J: Right ventricular infarction: A haemodynamic diagnosis. Br Heart J 36: 941–944, 1974.

    Article  PubMed  CAS  Google Scholar 

  77. Raabe DS Jr, Chester HA: Right ventricular infarction. Chest 73: 96–99, 1978.

    Article  PubMed  Google Scholar 

  78. Dell’Italia LJ, Starling MR, Crawford MH, Boros BL, Chaudhuri TK, O’Rourke, Heyl B, Amon KW: Right ventricular infarction: Identification by hemodynamic measurements before and after volume loading and correlation with noninvasive techniques. Am Coll Cardiol 4: 931–939, 1984.

    Article  Google Scholar 

  79. McCullough KI, Isner JM, Pandian NG, Bankoff MS. Circulatory shock due to ascites and responsive to paracentesis. AmJ Cardiol 56: 500–501, 1985.

    Article  CAS  Google Scholar 

  80. Coma-Canella I, Lopez-Sendon J: Ventricular compliance in ischemic right ventricular dysfunction. AmJ Cardiol 45: 555–561, 1980.

    Article  CAS  Google Scholar 

  81. Shabetai R, Fowler ND, Guntheroth WG: The hemodynamics of cardiac tamponade and constrictive pericarditis. Am J Cardiol 26: 480–489, 1970.

    Article  PubMed  CAS  Google Scholar 

  82. Goldstein JA, Vlahaker GJ, Verrier ED, Schiller NB, Tyberg JV, Ports TA, Parmley WW, Chatterjee K: The role of right ventricular systolic dysfunction and elevated intrapericardial pressure in the genesis of low output in experimental right ventricular infarction. Circulation 65: 513–522, 1982.

    Article  PubMed  CAS  Google Scholar 

  83. Tani M: Roles of the right ventricular free wall and ventricular septum in right ventricular performance and influence of the parietal pericardium during right ventricular failure in dogs. AmJ Cardiol 52: 195–202, 1983.

    Article  Google Scholar 

  84. Shirato K, Shabetai R, Bhargava V, Franklin D, Ross J Jr: Alteration of the left ventricular diastolic pressure-segment length relation produced by the pericardium. Effects of cardiac distension and afterload reduction in conscious dogs. Circulation 57: 1191–1198, 1978.

    PubMed  CAS  Google Scholar 

  85. Glantz SA, Misbach GA, Moores WY, Mathey DG, Lekven J, Stowe DF, Parmley WW, Ty-berg JV: The pericardium substantially affects the left ventricular diastolic pressure-volume relationship in the dog. Circ Res 42: 433–441, 1978.

    PubMed  CAS  Google Scholar 

  86. Guiha NH, Limas CJ, Cohn JN: Predominant right ventricular dysfunction after right ventricular destruction in the dog. Am J Cardiol 33: 254–258, 1974.

    Article  PubMed  CAS  Google Scholar 

  87. Dell’Italia LJ, Starling MR, O’Rourke RA: Physical examination for exclusion of hemodynamically important right ventricular infarction. Ann Int Med 99: 608–611, 1983.

    PubMed  Google Scholar 

  88. Eisenberg S, Suyemoto J: Rupture of papillary muscle of the tricuspid valve following acute myocardial infarction. Circulation 30: 588–591, 1964.

    PubMed  CAS  Google Scholar 

  89. Zone DD Botti RE: Right ventricular infarction with tricuspid insufficiency and chronic right heart failure. AmJ Cardiol 37: 445–448, 1976.

    Article  Google Scholar 

  90. Bracchetti D, Capucci A: Right ventricular infarction with tricuspid insufficiency. Il. AmJ Cardiol 39: 133, 1977.

    CAS  Google Scholar 

  91. Korr KS, Levinson H, Bough EW, Gheorghiade M, Stone J, McEnany T, Shulman RS: Tricuspid valve replacement for cardiogenic shock after acute right ventricular infarction. }AMA 244: 1958–1960, 1980.

    Article  PubMed  CAS  Google Scholar 

  92. Morris AL, Donen N: Hypoxia and intracardiac right-to-left shunt complicating inferior myocardial infarction with right ventricular extension. Arch Intern Med 138: 1405–1406, 1978.

    Article  PubMed  CAS  Google Scholar 

  93. Manno B, Bemis C, Carver J, Mintz G: Right ventricular infarction complicated by right to left shunt. }ACC 1: 554–557, 1983.

    PubMed  CAS  Google Scholar 

  94. Reitveld A, Merrman L, Essed C, Trimbos J, Hagemeiyer F: Right to left shunt, with severe hypoxemia, at the atrial level in a patient with hemodynamically important right ventricular infarction. JACC 2: 776–779, 1983.

    Google Scholar 

  95. Reitveld A, Merrman L, Essed C, Trimbos J, Hagemeiyer F: Right to left shunt, with severe hypoxemia, at the atrial level in a patient with hemodynamically important right ventricular infarction. JACC 2: 776–779, 1983.

    Google Scholar 

  96. Waller BF, Smith ER, Blackbourne BD, Arce FP, Sarkar NN, Roberts WC: Congenital hypoplasia of portions of both right and left ventricular myocardial walls. Am J Cardiol 46: 885–891. 1980.

    Article  PubMed  CAS  Google Scholar 

  97. Waller BF, Smith ER, Blackbourne BD, Arce FP, Sarkar NN, Roberts WC: Congenital hypoplasia of portions of both right and left ventricular myocardial walls. Am J Cardiol 46: 885–891. 1980.

    Article  PubMed  CAS  Google Scholar 

  98. Strauss HD, Sobel BE, Roberts R: The influence of occult right ventricular infarction on enzymatically estimated infarct size, hemodynamics and prognosis. Circulation 62: 503–508, 1980.

    PubMed  CAS  Google Scholar 

  99. Weinshel AJ, Isner JM, Konstam MA, Salem DN. Peak CPK in transmural inferior wall infarction of the left ventricle: Clue to presence or absence of coexistent right ventricular myocardial infarction. Circulation 68: IV - 391, 1983.

    Google Scholar 

  100. Erhardt LR, Sjogren A, Wahlbert I: Single right-sided precordial lead in the diagnosis of right ventricular involvement in inferior myocardial infarction. Am Heart J 91: 571–576, 1976.

    Article  PubMed  CAS  Google Scholar 

  101. Chou TC, Van Der Bel-Kahn J, Allen J, Brockmeier L, Fowler NO: Electrocardiographic diagnosis of right ventricular infarction. Am J Med 70: 1175–1180, 1981.

    Article  PubMed  CAS  Google Scholar 

  102. Croft CH, Nicod P, Corbett JR, Lewis SE, Huxley R, Mukharji J, Willerson JT, Rude RE: Detection of acute right ventricular infarction by right precordial electrocardiography. Am J Cardiol 50: 421–427, 1982.

    Article  PubMed  CAS  Google Scholar 

  103. Klein HO, Tordiman T, Ninio R, Sareli P, Oren V, Lang R, Gefen J, Pauzner C, DiSegni E, David D, Kaplinsky E: The early recognition of right ventriular infarction: Diagnostic accuracy of the electrocardiographic V4R lead. Circulation 67: 558–565, 1983.

    Article  PubMed  CAS  Google Scholar 

  104. Morgera T, Alberti E, Silvestri F, Pandullo C, Della Mea MT, Camerini F: Right precordial ST and QRS changes in the diagnosis of right ventricular infarction. Am Heart J 108: 13–18, 1984.

    Article  PubMed  CAS  Google Scholar 

  105. Lopez-Sendon J, Coma-Canella I, Ascasena S, Seoane J, Gamallo C: Electrocardiographic findings in acute right ventricular infarction: Sensitivity and specificity of electrocardiographic alterations in right precordial leads V.,R, V,,R, VI V, and V3. JACC 6: 1273–1279, 1985.

    PubMed  CAS  Google Scholar 

  106. Coma-Canella I, Lopez-Sendon J, Alcasena S, Garcia C, Gamallo C, Jadraque LM: Electrocardiographic alterations in leads VI to V3 in the diagnosis of right and left ventricular infarction. Am Heart J 112: 940–946, 1986.

    Article  PubMed  CAS  Google Scholar 

  107. Geft IL, Shah PK, Rodriguez L, Hulse S, Maddahi J, Berman DS, Ganz W: ST elevations in leads VI to V5 may be caused by right coronary artery occlusion and acute right ventricular infarction. Am J Cardinal 53: 991–996, 1984.

    Article  CAS  Google Scholar 

  108. deMarchena EJ, Paloma AR, Rothman RG, Myerburg RJ, Kessler KM. Angiographically demonstrated isolated acute right ventricular infarction presenting as ST elevation in leads V1 to V3. Am Heart J 113: 391–393, 1987.

    Article  CAS  Google Scholar 

  109. Lopez-Sendon J, Garcia-Fernandez MA, ComaCanella I, Yanguela MM, Banuelos F: Segmental right ventricular function after acute myocardial infarction: Two-dimensional echo-cardiographic study in 63 patients. Am J Cardiol 51: 390–396, 1983.

    Article  PubMed  CAS  Google Scholar 

  110. Cecchi F, Zuppiroli A, Favilli S, DiBari M, Vannucci A, Pini R, Marchionni N: Echocardiographic features of right ventricular infarction. Clin Cardiol 7: 405–412, 1984.

    PubMed  CAS  Google Scholar 

  111. Bellamy GR, Rasmussen HH, Nasser FN, Wiseman JC, Cooper RA: Value of two-dimensional echocardiography, electrocardiography, and clinical signs in detecting right ventricular infarction. Am HeartJ 112: 304–309, 1986.

    Article  CAS  Google Scholar 

  112. Panidis I, Kotler MN, Mintz GS, Ross J, Ren JF, Herling I, Kutalek S: Right ventricular function in coronary artery disease as assessed by two-dimensional echocardiography. Am Heart J 107: 1187–1194, 1984.

    Article  PubMed  CAS  Google Scholar 

  113. Sharkey SW, Shelley W, Carlyle PF, Rysavy J, Cohn J: M-mode and two-dimensional echocardiographic analysis of the septum in experimental right ventricular infarction: Correlations with hemodynamic alterations. Am Heart J 110: 1210–1218, 1985.

    Article  PubMed  CAS  Google Scholar 

  114. Mikell FL, Asinger RW, Hodges M: Functional consequences of interventricular septal involvement in right ventricular infarction: Echocardiographic, clinical, and hemodynamic observations. Am HeartJ 105: 393–401, 1983.

    Article  CAS  Google Scholar 

  115. Steele P, Kirch D, Ellis J, Vogel R, Battock D: Prompt return to normal of depressed right ventricular ejection fraction in acute inferior infarction. Br Heart J 39: 1319–1323, 1977.

    Article  PubMed  CAS  Google Scholar 

  116. Reduto LA, Berger HJ, Cohen LS, Gottschalk A, Zaret BL: Sequential radionuclide assessment of left and right ventricular performance after acute transmural myocardial infarction. Ann Intern Med 89: 441–447, 1978.

    PubMed  CAS  Google Scholar 

  117. Marmor A, Geltman EM, Biello DR, Sobel BE, Siegel BA, Roberts R: Functional response of the right ventricle to myocardial infarction: Dependence on the site of left ventricular infarction. Circulation 64: 1005–1011, 1981.

    Article  PubMed  CAS  Google Scholar 

  118. Tobinick E, Schelbert HR, Henning H, LeWinter M, Taylor A, Ashburn WL, Kar-liner JS: Right ventricular ejection fraction in patients with acute anterior and inferior myocardial infarction assessed by radionuclide angiography. Circulation 57: 1078–1084, 1978.

    PubMed  CAS  Google Scholar 

  119. Starling MR, Dell’Italia LJ, Chaudhuri TK, Boros BL, O’Rourke RA, Heyl B, Patric-Fischer S: First transit and equilibrium radionuclide angiography in patients with inferior transmural myocardial infarction: Criteria for the diagnosis of associated hemodynamically significant right ventricular infarction. JACC 5: 923–930, 1984.

    Google Scholar 

  120. Braat SH, Brugada P, DeZwaan C, Den Dulk K, Wellens HJJ: Right and left ventricular ejection fraction in acute inferior wall infarction with or without ST segment elevation in lead V4R. JACC 4: 940–944, 1984.

    PubMed  CAS  Google Scholar 

  121. Wackers FJ, Lie KI, Sokole EB, Res J, Van Der Schont JB, Durrer D: Prevalence of right ventricular involvement in inferior wall infarction assessed with myocardial imaging with thallium-201 and technetium-99 m pyrophosphate. Am J Cardiol 42: 358–362, 1978.

    Article  PubMed  CAS  Google Scholar 

  122. Baigrie RS, Haq A, Morgan CD, Rakowski H, Drobac M, McLaughlin P: The spectrum of right ventricular involvement in inferior wall myocardial infarction: A clinical, hemodynamic and noninvasive study. JACC 1: 1396–1404, 1983.

    PubMed  CAS  Google Scholar 

  123. Kotler J, Trobaugh GB, Wiliams DL, Gustafson DE, Tutt RC: Demonstration of a right ventricular infarction with tomographic thallium myocardial imaging. J Nucl Med 23: 1111–1113, 1982.

    PubMed  CAS  Google Scholar 

  124. Nestico PF, Hakki AH, Felsher J, Heo J, Iskandrian AS: Implications of abnormal right ventricular thallium uptake in acute myocardial infarction. Am J Cardiol 58: 230–234, 1986.

    Article  PubMed  CAS  Google Scholar 

  125. Goldstein JA, Vlahakes GJ, Verrier ED, Schiller NB, Botvinick E, Tyberg JV, Parmley WW, Chatterjee K: Volume loading improves low cardiac output in experimental right ventricular infarction. JACC 2: 270–278, 1983.

    PubMed  CAS  Google Scholar 

  126. Proger SH, Ayman D: Harmful effects of nitroglycerin. With special reference to coronary thrombosis. Am J Med Sci 184: 480, 1953.

    Article  Google Scholar 

  127. Come PC, Pitt B: Nitroglycerin-induced severe hypotension and bradycardia in patients with acute myocardial infarction. Circulation 54: 624–628, 1976.

    PubMed  CAS  Google Scholar 

  128. Semenkovich CF, Jaffe AS: Adverse effects due to morphine sulfate. Am J Med 79: 325–330, 1985.

    Article  PubMed  CAS  Google Scholar 

  129. Erhardt LR: Right ventricular involvement in acute myocardial infarction. Europ J Cardiol 4: 411–418, 1976.

    CAS  Google Scholar 

  130. James TN: Anatomy of The Coronary Arteries. New York, Paul B. Hoeber, 1961.

    Google Scholar 

  131. Adgey AAJ, Geddes JS, Mulholland HC, Keegan DAJ, Pantridge JF: Incidence, significance, and management of early bradyarrhythmia complicating acute myocardial infarction. Lancet 2: 1097–1101, 1968.

    Article  PubMed  CAS  Google Scholar 

  132. Feigl D, Ashkenazy J, Kishon Y: Early and late atrioventricular block in acute inferior myocardial infarction. JACC 4: 35–38, 1984.

    PubMed  CAS  Google Scholar 

  133. Wesley RC, Lerman BB, DiMarco JP, Berne RM, Belardinelli L: Mechanism of atropine-resistant atrioventricular block during inferior myocardial infarction: Possible role of adenosine. JACC 8: 1232–1234, 1986.

    PubMed  Google Scholar 

  134. Shah PK, Nalos P, Peter T: Atropine resistant post infarction complete AV block: possible role of adenosine and improvement with aminophylline. Am Heart J 113: 194–195, 1987.

    Article  PubMed  CAS  Google Scholar 

  135. Isner JM, Fisher GP, DelNegro AA, Borer JS: Right ventricular infarction with hemodynamic decompensation due to transient loss of active atrial augmentation: Successful treatment with atrial pacing. Am Heart J 102: 792–794, 1981.

    Article  PubMed  CAS  Google Scholar 

  136. Topol EJ, Goldschlager N, Ports TA, DiCarlo LA, Schiller NB, Botvinick EH, Chatterjee K: Hemodynamic benefit of atrial pacing in right ventricular myocardial infarction. Ann Int Med 96: 594, 1982.

    PubMed  CAS  Google Scholar 

  137. Love JC, Haffajee CI, Gore JM, Alpert JS: Reversibility of hypotension and shock by atrial or atrioventricular sequential pacing in patients with right ventricular infarction. Am Heart J 108: 5–13, 1984.

    Article  PubMed  CAS  Google Scholar 

  138. Johnson AD, Laiken SL, Engler RL: Hemodynamic compromise associated with ventriculoatrial conduction following transvenous pacemaker placement. Am J Med 65: 75–79, 1978.

    Article  PubMed  CAS  Google Scholar 

  139. Burkes JM, Calder JR, Roland DL: Sinus arrest in diaphragmatic myocardial infarction. 146. Treatment of pump failure with atrial pacing, Pace 2: 553, 1979.

    Google Scholar 

  140. Chamberlain DA, Leinbach RC, Vassaux CE, 147. Kastor JA, DeSantis RW, Sanders CA: Sequential atrioventricular pacing in heart block 148. complicating acute myocardial infarction. N Engl J Med 282: 577–582, 1970.

    Article  PubMed  CAS  Google Scholar 

  141. Rahimtoola SH, Ehsani A, Sinno MZ, Loeb HS, Rosen KM, Gunnar RM: Left atrial transport function in myocardial infarction. Importance of its booster pump function. Am J Med 59: 686–694, 1975.

    Article  PubMed  CAS  Google Scholar 

  142. French JW, Baum D, Popp RL: Echocardiographic findings in Uhl’s anomaly. Demonstration of diastolic pulmonary valve opening AmJ Cardiol36: 349–353, 1975. 150.

    Google Scholar 

  143. Coma-Canella I, Lopez-Sendon J, Oliver J: Premature pulmonic valve opening and inverted septal convexity in acute ischemic right ventricular dysfunction. Am Heart Journal 101: 684–685, 1981.

    Article  CAS  Google Scholar 

  144. Legrand V, Rigo P: Premature opening of the pulmonary valve in right ventricular myocardial infarction. Acta Cardiol 36: 289–293, 1981.

    PubMed  CAS  Google Scholar 

  145. Lopez-Sendon J, Garcia AG, Marti JS, Roldan I: Complete pulmonic valve opening during atrial contraction after right ventricular infarction. Am J Cardiol 56: 486–487, 1985.

    Article  PubMed  CAS  Google Scholar 

  146. Doyle T, Troup PJ, Wann LS. Mid-diastolic opening of the pulmonary valve after right ventricular infarction. JACC 5: 366–368, 1985.

    PubMed  CAS  Google Scholar 

  147. Fontan F, Baudet E: Surgical repair of tricuspid atresia. Thorax 26: 240–248, 1971.

    Article  PubMed  CAS  Google Scholar 

  148. Sclarovsky S, Zafrir N, Strasberg B, Kracoff O, Levin RF, Arditi A, Rosen K, Agmon J: Ventricular fibrillation complicating temporary ventricular pacing in acute myocardial infarction: Significance of right ventricular infarction. Am J Cardiol 48: 1160–1166, 1981.

    Article  PubMed  CAS  Google Scholar 

  149. Braat SH, Ramentol M, Halders S, Wellens HJ: Reperfusion with streptokinase of an occluded right coronary artery: Effects on early and late right and left ventricular ejection fraction. Am Heart J 113: 257–260, 1987.

    Article  PubMed  CAS  Google Scholar 

  150. Miller DC, Moreno-Cabral RJ, Stinson EB, Shumway N: Pulmonary artery balloon counter-pulsation for acute right ventricular failure. J Thorac Cardiovasc Surg 80: 760–763, 1980.

    PubMed  CAS  Google Scholar 

  151. Moran JM, Opravil M, Gorman AJ, Rastegar H, Meyers SN, Michaelis LL: Pulmonary artery balloon counterpulsation for right ventricular failure: II. Clinical experience. Ann Thorac Surg 38: 254–259, 1984.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. Jeffrey M. Isner
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Tufts University School of Medicine, 750 Washington Street, 02111, Boston, MA, USA

    Marvin A. Konstam M.D. (Associate Professor of Medicine and Radiology, Director) & Jeffrey M. Isner M.D. (Associate Professor of Medicine and Pathology, Associate Director) (Associate Professor of Medicine and Radiology, Director) &  (Associate Professor of Medicine and Pathology, Associate Director)

  2. Adult Cardiac Catheterization and Cardiac Nuclear Medicine Laboratories, New England Medical Center, 750 Washington Street, 02111, Boston, MA, USA

    Marvin A. Konstam M.D. (Associate Professor of Medicine and Radiology, Director) (Associate Professor of Medicine and Radiology, Director)

  3. Adult Cardiac Catheterization Laboratory, New England Medical Center Hospitals, 750 Washington Street, 02111, Boston, MA, USA

    Jeffrey M. Isner M.D. (Associate Professor of Medicine and Pathology, Associate Director) (Associate Professor of Medicine and Pathology, Associate Director)

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Kluwer Academic Publishers

About this chapter

Cite this chapter

Isner, J.M. (1988). Right Ventricular Myocardial Infarction. In: Konstam, M.A., Isner, J.M. (eds) The Right Ventricle. Developments in Cardiovascular Medicine, vol 83. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1773-9_6

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-1773-9_6

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8994-4

  • Online ISBN: 978-1-4613-1773-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation