Right ventricular infarction: Clinical, hemodynamic, mono- and two-dimensional echocardiographic features

A. Vannucci, F. Cecchi, A. Zuppiroli, N. Marchionni, R. Pini, M. Di Bari, M. Calamandrei, A. Conti, L. Ferrucci, B. Greppi, W. De Alfieri

Research output: Contribution to journalArticle

Abstract

In a series of 75 patients with transmural acute myocardial infarction, a right to left ventricular filling pressure ratio equal to or greater than 0.65 was assumed to be indicative of associated right ventricular infarction. Eleven (24%) out of 45 patients with infero-posterior myocardial infarction had such hemodynamic evidence of right ventricular infarction (Group A). The remaining 34 patients with infero-posterior myocardial infarction (Group B) and the 30 patients with anterior myocardial infarction did not. Two-dimensional echocardiographic examination performed 5 days after admission in the 62 patients who survived, showed right ventricular free wall asynergy in six out of eight Group A patients; in three of them right ventricular enlargement was present. No patient in Group B inferior infarction or with anterior myocardial infarction had abnormal right ventricular motion or dimensions.

Original languageEnglish (US)
Pages (from-to)854-864
Number of pages11
JournalEuropean Heart Journal
Volume4
Issue number12
StatePublished - Dec 1983
Externally publishedYes

Keywords

  • Echocardiography
  • Hemodynamics
  • Myocardial infarction

ASJC Scopus subject areas

  • Statistics, Probability and Uncertainty
  • Applied Mathematics
  • Physiology (medical)
  • Physiology
  • Cardiology and Cardiovascular Medicine

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    Vannucci, A., Cecchi, F., Zuppiroli, A., Marchionni, N., Pini, R., Bari, M. D., Calamandrei, M., Conti, A., Ferrucci, L., Greppi, B., & Alfieri, W. D. (1983). Right ventricular infarction: Clinical, hemodynamic, mono- and two-dimensional echocardiographic features. European Heart Journal, 4(12), 854-864.