Literature DB >> 16630094

Right ventricular infarction mimicking anterior infarction.

Manolis Vavuranakis1, Maria Drakopoulou, Konstantinos Toutouzas, Dilaveris Polychronis, Christodoulos Stefanadis.   

Abstract

It is rare to observe ST elevation in anterior derivations caused by right ventricular branch occlusion. We described the case of a patient with unstable angina who developed acute right ventricular myocardial infarction with ST-segment elevation in anterior precordial leads (V(1)-V(4)) shortly after coronary angiography. Coronary angiogram revealed total occlusion of the right coronary artery (RCA) proximally to the right ventricular branch. This reminds us that the presence of diffuse ST-segment elevation in the precordial leads could be due to acute RCA occlusion. The differentiation of these two entities is important, as their therapies are quite different.

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Year:  2006        PMID： 16630094      PMCID： PMC7313268          DOI： 10.1111/j.1542-474X.2006.00101.x

Source DB:  PubMed          Journal:  Ann Noninvasive Electrocardiol        ISSN： 1082-720X            Impact factor:   1.468


  10 in total

Review 1.  Unusual electrocardiographic presentation of an isolated right ventricular myocardial infarction secondary to thrombotic occlusion of a non-dominant right coronary artery--a case report and brief review of literature.

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2.  ST segment elevation in leads V1 to V3 due to isolated right ventricular branch occlusion during primary right coronary angioplasty.

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4.  Pure right ventricular infarction.

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Journal:  Circ J       Date:  2002-02       Impact factor: 2.993

5.  Unusual electrocardiographic manifestations in acute isolated right ventricular infarction.

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Journal:  Chang Gung Med J       Date:  2001-07

6.  Isolated right ventricular infarction presenting as anterior wall myocardial infarction on electrocardiography.

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Journal:  Clin Cardiol       Date:  1997-11       Impact factor: 2.882

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Journal:  Ann Noninvasive Electrocardiol       Date:  2004-10       Impact factor: 1.468

8.  Electrocardiographic findings in acute right ventricular infarction: sensitivity and specificity of electrocardiographic alterations in right precordial leads V4R, V3R, V1, V2, and V3.

Authors:  J Lopez-Sendon; I Coma-Canella; S Alcasena; J Seoane; C Gamallo
Journal:  J Am Coll Cardiol       Date:  1985-12       Impact factor: 24.094

9.  The ionic contrast medium ioxaglate interferes with thrombin-mediated feedback activation of factor V, factor VIII and platelets.

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10.  Value of lead V4R for recognition of the infarct coronary artery in acute inferior myocardial infarction.

Authors:  S H Braat; P Brugada; K den Dulk; V van Ommen; H J Wellens
Journal:  Am J Cardiol       Date:  1984-06-01       Impact factor: 2.778
  10 in total
  2 in total

1.  Isolated right ventricular myocardial infarction: mimicking anterior myocardial infarction in a patient with coronary artery bypass grafts.

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Journal:  Tex Heart Inst J       Date:  2011

2.  Precordial ST-Segment Elevation Caused by Proximal Occlusion of a Non-Dominant Right Coronary Artery.

Authors:  Yen-Nien Lin; Hsin-Yueh Liang; Ping-Han Lo; Kuan-Cheng Chang; Yeh-Peng Chen
Journal:  Acta Cardiol Sin       Date:  2014-09       Impact factor: 2.672
  2 in total

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