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European Heart Journal 1983 4(12):854-864;
Copyright © 1983 by the European Society of Cardiology.
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© 1983, by the European Society of Cardiology

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

A. VANNUCCI*,, F. CECCHI{dagger}, A. ZUPPIROLI{dagger}, N. MARCHIONNI*, R. PINI*, M. DI BARI*, M. CALAMANDREI*, A. CONTI*, L. FERRUCCI*, B. GREPPI* and W. DE ALFIERI*

*Coronary Care Unit, Institute of Gerontology, University of Florence Florence, Italy
{dagger}Servizio di Cardiologia, Careggi Hospital Florence, Italy

Received 21 December 1982; revised 7 April 1983; .

Reprint address A Vannucci MD Institute of Gerontology. University of Florence, Viall Pielaccini, 18, 50139-Florence, Italy.

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.

Key Words: Myocardial infarction • hemodynamics • echocardiography


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