Acute inferior myocardial infarction with right ventricular involvement and several clinical-electrocardiographic markers of poor prognosis

被引:4
作者
Garcia-Niebla, Javier [1 ]
Perez-Riera, Andres Ricardo [2 ]
Barbosa-Barros, Raimundo [3 ]
Diaz-Munoz, Jorge [1 ]
Daminello-Raimundo, Rodrigo [2 ]
de Abreu, Luiz Carlos [2 ]
Nikus, Kjell [4 ,5 ]
机构
[1] Valle del Golfo Hlth Ctr, Area Salud El Hierro, Serv Sanitarios, El Hierro, Islas Canarias, Spain
[2] ABC Sch Med, Design Studies & Sci Writing Lab, Santo Andre, SP, Brazil
[3] Messejana Hosp Dr Carlos Alberto Studart Gomes, Coronary Ctr, Fortaleza, Ceara, Brazil
[4] Univ Tampere, Tampere Univ Hosp, Heart Ctr, Tampere, Finland
[5] Univ Tampere, Fac Med & Life Sci, Tampere, Finland
关键词
lambda-like wave; reciprocal changes; right ventricular infarction; slurring J wave; ST-SEGMENT DEPRESSION; REPOLARIZATION;
D O I
10.1111/anec.12592
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Right ventricular involvement in inferior myocardial infarction is a marker of poor prognosis. We present a case of a 62-year-old man with very recent onset of acute chest pain and cardiac shock with the triad of elevated jugular venous pressure, distension of the jugular veins on inspiration, and clear lung fields. In addition, the admission electrocardiogram showed a slurring J wave or lambda-like wave and conspicuous ST segment depression in several leads, predominantly in the lateral precordial (V4-V6), all clinical-electrocardiographic features of ominous prognosis.
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页数:4
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