Right Ventricular Ischemia in Stress Echocardiography

  • José Alberto San Román
  • Isidre Vilacosta

Abstract

The involvement of the right ventricle in ischemic heart disease has long been ignored by cardiologists. The assessment of right ventricular size and function is made difficult by the retrosternal position, complex geometry and heavy trabeculation of the right ventricle, which also partially overlaps with the silhouettes of the left ventricle. Modern imaging techniques and technical improvement of echocardiographic imaging facilitate a systematic evaluation of the right ventricle.

Keywords

Depression Ischemia Cardiol Thallium Dobutamine 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    López-Sendón J, López de Sa E, Dekan JL (1994) Ischemie right ventricular dysfunction. Car-diovasc Drugs Ther 8:393–406CrossRefGoogle Scholar
  2. 2.
    Goldstein JA (1999) Pathophysiology and clinical management of right heart ischemia. Curr Opin Cardiol 14:329–339PubMedCrossRefGoogle Scholar
  3. 3.
    Greyson C, Garcia J, Mayr R, et al (1995) Effects of inotropic stimulation on energy metabolism and systolic function of ischemic right ventricle. Am J Physiol 268 (Heart Circ Physiol 37):H1821–H1828Google Scholar
  4. 4.
    San Roman JA, Vilacosta I, Rollán MJ, et al (1997) Right ventricular asynergy during dobuta-mine-atropine echocardiography. J Am Coll Cardiol 30:430–435CrossRefGoogle Scholar
  5. 5.
    Sicari S, Picano E, Michelassi C, et al (1994) Diagnostic and prognostic value of dipyridamole echocardiography in patients with suspected coronary artery disease. Comparison with exercise electrocardiography. Circulation 89:1160–1173CrossRefGoogle Scholar
  6. 6.
    Maurer G, Nanda NC (1981) Two dimensional echocardiographic evaluation of exercise-induced left and right ventricular asynergy: correlation with thallium scanning. Am J Cardiol 48:720–727PubMedCrossRefGoogle Scholar
  7. 7.
    Obeid AI, Battaglia J, Lozner E (1998) Right ventricular dysfunction secondary to myocardial ischemia provoked by stress testing. Echocardiography 15:451–457PubMedCrossRefGoogle Scholar
  8. 8.
    Shah AR, Grodman R, Salazar MF, et al (2000) Assessment of acute right ventricular dysfunction induced by right coronary artery occlusion using echocardiographic atrioventricular plane displacement. Echocardiography 17:513–519PubMedCrossRefGoogle Scholar
  9. 9.
    Zehender M, Kasper W, Kauder E, et al (1993) Right ventricular infarction as an independent predictor of prognosis after acute inferior myocardial infarction. N Engl J Med 328:981–988PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • José Alberto San Román
  • Isidre Vilacosta

There are no affiliations available

Personalised recommendations