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Statements

Subject Item
n2:RIV%2F65269705%3A_____%2F13%3A%230002059%21RIV14-MZ0-65269705
rdf:type
n11:Vysledek skos:Concept
dcterms:description
Right ventricle myocardial infarctions (RVMIs) accompany inferior wall ischemia in up to one-half of cases. The clinical sequelae of RVMIs vary from no hemodynamic compromise to severe hypotension and cardiogenic shock. Diagnosis is based on physical examination, electrocardiography, echocardiography and coronary angiography. Because the standard 12-lead electrocardiogram is insufficient for the assessment of RV involvement, right-sided precordial leads should always be included. Adequate fluid administration in combination with positive inotropic agents and early coronary reperfusion are crucial components of treatment, while diuretics and nitrates should be avoided. Intra-aortic balloon counterpulsation and right ventricle assist devices may be used with success in RVMIs associated with medically refractory heart failure. Right ventricular involvement appears to be an independent prognostic factor that dramatically increases in-hospital mortality, due, in part, to a significantly higher risk of hemodynamically compromising arrhythmias. Thus, using right-sided precordial leads and early RVMI identification to trigger an appropriately aggressive treatment protocol may improve patients’ prognosis. Right ventricle myocardial infarctions (RVMIs) accompany inferior wall ischemia in up to one-half of cases. The clinical sequelae of RVMIs vary from no hemodynamic compromise to severe hypotension and cardiogenic shock. Diagnosis is based on physical examination, electrocardiography, echocardiography and coronary angiography. Because the standard 12-lead electrocardiogram is insufficient for the assessment of RV involvement, right-sided precordial leads should always be included. Adequate fluid administration in combination with positive inotropic agents and early coronary reperfusion are crucial components of treatment, while diuretics and nitrates should be avoided. Intra-aortic balloon counterpulsation and right ventricle assist devices may be used with success in RVMIs associated with medically refractory heart failure. Right ventricular involvement appears to be an independent prognostic factor that dramatically increases in-hospital mortality, due, in part, to a significantly higher risk of hemodynamically compromising arrhythmias. Thus, using right-sided precordial leads and early RVMI identification to trigger an appropriately aggressive treatment protocol may improve patients’ prognosis.
dcterms:title
Right ventricular myocardial infarction: From pathophysiology to prognosis Right ventricular myocardial infarction: From pathophysiology to prognosis
skos:prefLabel
Right ventricular myocardial infarction: From pathophysiology to prognosis Right ventricular myocardial infarction: From pathophysiology to prognosis
skos:notation
RIV/65269705:_____/13:#0002059!RIV14-MZ0-65269705
n11:predkladatel
n16:ico%3A65269705
n4:aktivita
n7:P n7:I
n4:aktivity
I, P(NT13767)
n4:cisloPeriodika
1
n4:dodaniDat
n9:2014
n4:domaciTvurceVysledku
n6:9265147 n6:3950697 n6:5815894 n6:6373216 n6:4036913 n6:1744704
n4:druhVysledku
n8:J
n4:duvernostUdaju
n12:S
n4:entitaPredkladatele
n18:predkladatel
n4:idSjednocenehoVysledku
102958
n4:idVysledku
RIV/65269705:_____/13:#0002059
n4:jazykVysledku
n17:eng
n4:klicovaSlova
right ventricle myocardial infarction; arrhythmias; treatment; revascularization
n4:klicoveSlovo
n13:arrhythmias n13:revascularization n13:treatment n13:right%20ventricle%20myocardial%20infarction
n4:kodStatuVydavatele
CA - Kanada
n4:kontrolniKodProRIV
[17FD9068C451]
n4:nazevZdroje
Experimental and Clinical Cardiology
n4:obor
n15:FA
n4:pocetDomacichTvurcuVysledku
6
n4:pocetTvurcuVysledku
6
n4:projekt
n5:NT13767
n4:rokUplatneniVysledku
n9:2013
n4:svazekPeriodika
18
n4:tvurceVysledku
Andršová, Irena Špinar, Jindřich Kala, Petr Kaňovský, Jan Ondrúš, Tomáš Novotný, Tomáš
n4:wos
000319219000022
s:issn
1205-6626
s:numberOfPages
4