Electrocardiographic manifestations: Right ventricular infarction

被引:11
作者
Fijewski, TR
Pollack, ML
Chan, TC
Brady, WJ
机构
[1] York Hosp, Dept Emergency Med, York, PA 17405 USA
[2] Univ Calif San Diego, Med Ctr, Dept Emergency Med, San Diego, CA 92103 USA
[3] Univ Virginia, Dept Emergency Med, Charlottesville, VA USA
关键词
EKG; right-ventricular infarction; inferior MI; right-sided EKG; acute MI;
D O I
10.1016/S0736-4679(01)00463-2
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The 12-lead electrocardiogram (EKG) is an essential tool when evaluating the Emergency Department (ED) patient with suspected cardiac ischemia. The standard EKG has limitations when evaluating "remote" areas of the heart such as the left posterior wall or right ventricular wall. Diagnosis of right ventricular infarction (RVI) in the presence of acute inferior wall myocardial infarction (MI) is made utilizing right-sided chest leads with high sensitivities and specificities. RVI is a serious ED problem because morbidity and mortality is higher in acute MIs associated with RVI. (C) 2002 Elsevier Science Inc.
引用
收藏
页码:189 / 194
页数:6
相关论文
共 37 条
[1]   RIGHT VENTRICULAR INFARCTION - DIAGNOSTIC-VALUE OF ST ELEVATION IN LEAD-III EXCEEDING THAT OF LEAD-II DURING INFERIOR POSTERIOR INFARCTION AND COMPARISON WITH RIGHT-CHEST LEADS V3R TO V7R [J].
ANDERSEN, HR ;
NIELSEN, D ;
FALK, E .
AMERICAN HEART JOURNAL, 1989, 117 (01) :82-86
[2]  
ANDERSEN HR, 1989, BRIT HEART J, V61, P514
[3]   RIGHT VENTRICULAR INFARCTION - FREQUENCY, SIZE AND TOPOGRAPHY IN CORONARY HEART-DISEASE - A PROSPECTIVE-STUDY COMPRISING 107 CONSECUTIVE AUTOPSIES FROM A CORONARY-CARE UNIT [J].
ANDERSEN, HR ;
FALK, E ;
NIELSEN, D .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1987, 10 (06) :1223-1232
[4]  
BRAAT SH, 1983, BRIT HEART J, V49, P368
[5]   VALUE OF THE ST-T SEGMENT IN LEAD V4R IN INFERIOR WALL ACUTE MYOCARDIAL-INFARCTION TO PREDICT THE SITE OF CORONARY ARTERIAL-OCCLUSION [J].
BRAAT, SH ;
GORGELS, APM ;
BAR, FW ;
WELLENS, HJJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1988, 62 (01) :140-142
[6]   VALUE OF LEAD V4R FOR RECOGNITION OF THE INFARCT CORONARY-ARTERY IN ACUTE INFERIOR MYOCARDIAL-INFARCTION [J].
BRAAT, SH ;
BRUGADA, P ;
DENDULK, K ;
VANOMMEN, V ;
WELLENS, HJJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1984, 53 (11) :1538-1541
[7]   A comparison of 12-and 15-lead ECGs in ED chest pain patients: Impact on diagnosis, therapy, and disposition [J].
Brady, WJ ;
Hwang, V ;
Sullivan, R ;
Chang, N ;
Beagle, C ;
Carter, CT ;
Martin, ML ;
Aufderheide, TP .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2000, 18 (03) :239-243
[8]   Electrocardiographic manifestations: Patterns that confound the EKG diagnosis of acute myocardial infarction-left bundle branch block, ventricular paced rhythm, and left ventricular hypertrophy [J].
Brady, WJ ;
Chan, TC ;
Pollack, M .
JOURNAL OF EMERGENCY MEDICINE, 2000, 18 (01) :71-78
[9]   Electrocardiographic manifestations: Acute posterior wall myocardial infarction [J].
Brady, WJ ;
Erling, B ;
Pollack, M ;
Chan, TC .
JOURNAL OF EMERGENCY MEDICINE, 2001, 20 (04) :391-401
[10]   Combined effect of age and right ventricular involvement on acute inferior myocardial infarction prognosis [J].
Bueno, H ;
López-Palop, R ;
Pérez-David, E ;
García-García, J ;
López-Sendón, JL ;
Delcán, JL .
CIRCULATION, 1998, 98 (17) :1714-1720