Skip to main content

Right ventricular infarction: Echocardiography hemodynamic feature

  • Chapter
Improvement of Myocardial Perfusion

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 50))

Abstract

According to pathological and scintigraphic studies, right ventricular infarction (RVI) can be seen in more than 40% of patients with acute inferior myocardial infarction, but its clinical feature with an elevated systemic venous pressure, clear lungs, and arterial hypotension is often unapparent [1, 2, 3]. Early diagnosis of right ventricular infarction, however, is important with respect to therapeutic interventions, such as volume loading, in order to improve cardiac output and systolic arterial pressure. Two-dimensional echocardiography has been shown to be useful in detecting right ventricular abnormalities secondary to right ventricular infarction [4@#x2013;7].

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight 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

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Erhard LR, Ring A (1974) Clinical and pathological observations in different types of acute myocardial infarction. Europ J Cardiol 4: 411–418

    Google Scholar 

  2. Sharpe DN, Botivinick EH, Shames DM, Schiller NB, Massie BM, Chatterjee K, Parmley WW (1978) The non invasive diagnosis of right ventricular infarction. Circulation 57: 483–490

    PubMed  CAS  Google Scholar 

  3. Wackers FJT, Lie KJ, Busemann SE, Res J, van der Schoot JB, Durrer D (1978) Prevalence of right ventricular involvement in inferior wall infarction assessed myocardial imaging with Thallium - 201 and Technetium - 99 m pyrophosphate. Am J Cardiol 42: 358–362

    Article  PubMed  CAS  Google Scholar 

  4. D’Arcy B, Nanda NC (1982) Two-dimensional echocardiographic features of right ventricular infarction. Circulation 65: 176–173

    Google Scholar 

  5. Vailnucci A, Cecchi F, Zuppiroli A, Marchionni N, Pini R, Di Bari M, Calamandrei M, Conti A, Ferrucci L, Greppi B, De Alfieri W (1983) Right ventricular infarction: Clinical, hemodynamic, mono- and two-dimensional echocardiographic features. Europ Heart J: 854–864

    Google Scholar 

  6. Lopez-Sendon J, Garcia-Fernandez MA, Coma-Canella J, Yanguela MM, Banuelos F, (1983) Segmental right ventricular function after acute myocardial infarction: Two-dimensional echocardiographic study in 63 patients. Am J Cardiol 51: 390–396

    Article  PubMed  CAS  Google Scholar 

  7. Jugdutt BJ, Sussex BA, Sivoram CA, Rossal RR (1984) Right ventricular infarction: Two- dimensional echocardiographic evaluation. Am Heart J 107 (3): 505–518

    Article  PubMed  CAS  Google Scholar 

  8. Erbel R, Pop T, Henkel B, Schreiner G, Steuernagel C, Beck FJ, Henrichs KJ, Meyer J (1985) Medical-mechanical treatment of myocardial infarction. In: J. Meyer, R. Erbel (eds) Improvement of myocardial perfusion, M. Nijhoff, Dordrecht

    Google Scholar 

  9. Croft CH, Nicol P, Corbett JR, Lewis SE, Huxley R, Mukharji J, Willerson J, Rude R, (1982) Detection of acute right ventricular infarction by right precordial electrocardiography. Am Heart J 50: 421–427

    CAS  Google Scholar 

  10. Geft JL, Shah PK, Rodriguez L, Hulse S, Maddahi J, Berman DS, Ganz W, (1984) ST-elevations in leads VI to V5 may be caused by right coronary artery occlusion and acute right ventricular infarction. Am Heart J 53 (8): 991–996

    CAS  Google Scholar 

  11. Van der Bel-Kahn J, Allen J, Brockmeier L, Fowler NO, (1981) Electrocardiographic diagnosis of right ventricular infarction. Am J Med 70: 1175–1180

    Article  PubMed  Google Scholar 

  12. Meyer J, Merx W, v Essen R, Erbel R, Rupprecht H-J, Piillen C, Effert S, (1982) Rechtsherzin- suffizienz beim Infarkt der rechten Kammer. Prognose und Therapie. Dtsch Med Wschr 107: 615–619

    Article  PubMed  CAS  Google Scholar 

  13. Merx W, Meyer J, v Essen R, Erbel R, Schweizer P, Püllen C, Rupprecht H-J; Effert S (1982) Rechtsherzinsuffizienz beim Infarkt der rechten Kammer. Diagnose und Häufigkeit. Dtsch Med Wschr 107: 565–570

    Article  PubMed  CAS  Google Scholar 

  14. Rackley CE, Russel RO, Mantle JA, Rogers WJ, Papapietra SE, Schwartz KM, (1981) Right ventricular infarction and function. Am Heart J 100: 215–218

    Article  Google Scholar 

  15. Tebbe U, Rahlf G, Sauer G, Kreuzer H, Neuhaus KL (1984) VerschluB der rechten Kranzarterie mit akutem Rechtsherzinfarkt und kardiogenem Schock. Z Kardiologie 73: 327–332

    CAS  Google Scholar 

  16. Gewirtz H, Gold H, Fallon J, Pasternak RC, Leinbach R, (1979) Role of right ventricular infarction in cardiogenic shock associated with inferior myocardial infarction. Br Heart J 42: 719–725

    Article  PubMed  CAS  Google Scholar 

  17. Cohn JN, Guiha NH, Broder MJ, Limas CJ, (1974) Right ventricular infarction. Clinical and hemodynamic features. Am J Cardiol 33: 209–214

    Article  PubMed  CAS  Google Scholar 

  18. Klein HO, Tordjman T, Ninio R, Sareli P, Oren V, Lang R, Gefen J, Pauzner C, Di Segni E, David D, Kaplinsky E, (1983) The early recognition of right ventricular infarction diagnostic accuracy of electrocardiographic V4r lead. Circulation 67 (3): 558–565

    Article  PubMed  CAS  Google Scholar 

  19. Erhard LR, Sjögren A, Waldberg J, (1976) Single right sided precordial lead in the diagnosis of right ventricular involvement in inferior myocardial infarction. Am Heart J 91: 571–576

    Article  Google Scholar 

  20. Coma-Canella J, Lopez-Sendon J, Gamallo C, (1979) Low output syndrom in right ventricular infarction. Am Heart J 98 (5): 613–620

    Article  PubMed  CAS  Google Scholar 

  21. Isner JM, Roberts WC, (1978) Right ventricular infarction complicating left ventricular infarction secondary to coronary heart disease. Am J Cardiol 42: 885–894

    Article  PubMed  CAS  Google Scholar 

  22. Legrand V, Rigo P, Smeets JP, Demoulin JC, Collignon P, Kulbertus HE, (1983) Right ventricular myocardial infarction diagnosed by 99m Technetium pyrophosphate scintigraphy: Clinical course and follow-up. Europ Heart J 4: 9–19.

    CAS  Google Scholar 

  23. v Essen R, Merx W, Meyer J, Effert S (1980) Rechtsventrikulärer Infarkt — ohne Hämodynamik keine Diagnose und gezielte Therapie. Anaesth und Intensivmed 125: 379–385

    Google Scholar 

  24. Rotman M, Ratliff NB, Hawley J, (1974) Right ventricular infarction:hemodynamic diagnosis. Br Heart J 36: 941–944

    Article  PubMed  CAS  Google Scholar 

  25. Wade WG (1959) The pathogenesis of infarction of the right ventricle. Br Heart J 21: 545–554

    CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1985 Martinus Nijhoff Publishers, Dordrecht

About this chapter

Cite this chapter

Rupprecht, HJ., Erbel, R., Schöter, KH., Schreiner, G., Hennrichs, KL., Meyer, J. (1985). Right ventricular infarction: Echocardiography hemodynamic feature. In: Meyer, J., Erbel, R., Rupprecht, H.J. (eds) Improvement of Myocardial Perfusion. Developments in Cardiovascular Medicine, vol 50. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-5032-0_16

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-5032-0_16

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8729-2

  • Online ISBN: 978-94-009-5032-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics