Echocardiographic findings in cardiogenic shock due to right ventricular myocardial infarction
| Autor: | Uri Elkayam, William H. Frishman, Martin N. Cohen, Joel A. Strom, Stanley Halprin |
|---|---|
| Rok vydání: | 1979 |
| Předmět: |
medicine.medical_specialty
Heart Ventricles Myocardial Infarction Shock Cardiogenic Volume overload Anterior Descending Coronary Artery Electrocardiography Internal medicine medicine Humans cardiovascular diseases Myocardial infarction Interventricular septum medicine.diagnostic_test business.industry Cardiogenic shock Hemodynamics Electrocardiography in myocardial infarction Middle Aged medicine.disease medicine.anatomical_structure Echocardiography Ventricle cardiovascular system Cardiology Female Radiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Catheterization and Cardiovascular Diagnosis. 5:289-294 |
| ISSN: | 1097-0304 0098-6569 |
| DOI: | 10.1002/ccd.1810050311 |
| Popis: | The echocardiographic findings in a patient with cardiogenic shock secondary to acute right ventricular myocardial infarction based on typical clinical, electrocardiographic, and hemodynamic features are described. The echocardiogram demonstrated a large RV/LV minor axis ratio caused by a volume overload of the right ventricle and an underfilled left ventricle. The interventricular septum showed abnormal movement, presumably due to right ventricular overload or severe disease of the left anterior descending coronary artery. Diminished septal systolic thickening, as seen in our patient, may be explained by extension of the infarct from the right ventricle to the adjacent part of the septum. Predominant right ventricular involvement can be a cause for a correctable hypotension in patients with acute myocardial infarction and should therefore be recognized early. The echocardiographic picture demonstrated in our patient, when considered in conjunction with the clinical status, can be useful for early diagnosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text