Infarctus isolé du ventricule droit mimant un infarctus antérieur
| Autor: | J.-L. Georges, Bernard Livarek, G. Lefevre, S. Legriel, C. Charbonnel, E. Blicq, C. Midey, V. Pham |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Infarction 030204 cardiovascular system & hematology medicine.disease Total occlusion Prehospital thrombolysis 03 medical and health sciences 0302 clinical medicine Internal medicine Right coronary artery medicine.artery Ventricular fibrillation cardiovascular system Cardiology Medicine cardiovascular diseases Myocardial infarction Differential diagnosis Cardiology and Cardiovascular Medicine business Anterior infarction |
| Zdroj: | Annales de Cardiologie et d'Angéiologie. 68:389-393 |
| ISSN: | 0003-3928 |
| DOI: | 10.1016/j.ancard.2019.08.012 |
| Popis: | Isolated right ventricular acute myocardial infarction is rare and its presentation can sometimes mimic an anterior ST-segment elevation myocardial infarction. We reported two cases of isolated right ventricular acute myocardial infarction presenting with a ST-elevation in anterior leads. The first case was admitted for an out-of-hospital cardiac arrest due to ventricular fibrillation. The patient died from neurologic consequences of the cardiac arrest, despite a successful prehospital thrombolysis, followed by a percutaneous angioplasty of the right coronary artery. The second case occurred after a complex percutaneous angioplasty of the right coronary artery, complicated by a total occlusion of a right marginal branch. These two cases illustrate the limits of the ECG for the diagnosis of isolated right ventricular acute infarction, and the difficulties of the differential diagnosis with anterior infarction, which may determine the treatment and the prognosis. |
| Databáze: | OpenAIRE |
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