Indici ecocardiografici correlati con l'anatomia coronarica in fase acuta di infarto miocardico: La nostra esperienza

Translated title of the contribution: Ecocardiographic indices related with acute coronary anatomy in acute phase of myocardial infarction: Our experience

Fabio Belluzzi, Anna Ciocca, Lucia Grosso Di Palma, Mattia Cattaneo, Caterina Conti, Fabio Magrini

Research output: Contribution to journalArticle

Abstract

Inferior acute myocardial infarction (IAMI) is often associated with right ventricle involvement (RVAMI). Echocardiogram (Echo) shows the ischemic involvement of the right ventricle with an initial dilatation (RVD) and segmental cinetic abnormalities (RVSCS). During RVAMI the normal convexity of the interatrial septum (IAS) toward right atrium is inverted (IASI). 53 patients with IAMI were studied with ECG, echo and hemodinamic monitoring by a Swan-Ganz catheter. Echo was early performed and patients were subdivided into three groups: 1. IAMI with RVSCS and/or RVD with IASI (12 patients); 2. IAMI with RVSCS and/or RVD without IASI (8 patients); 3. IAMI without VSCS, RVD IASI (33 patients). ECG showed RV involvement only in A and B groups (ST-T segment elevation more than 2 mm in V3 r - V5 r). Echo-Doppler showed no statistically differences between the two groups on RV protodiastolic pression; no hemodinamic differences between the two groups (p = n.s.); no statistically differences in central venous pressure, right ventricular pressure, cardiac output, wedge pressure. Complications (arrhytmias, heart failure, ipotension, pericarditis, 3rd A-V block) were so subdivided: group A: 6 patients (50%); group B: 2 patients (24%); group C: 4 patients (12%) with statistical significance (p

Translated title of the contributionEcocardiographic indices related with acute coronary anatomy in acute phase of myocardial infarction: Our experience
Original languageItalian
Pages (from-to)432-437
Number of pages6
JournalRecenti Progressi in Medicina
Volume102
Issue number11
DOIs
Publication statusPublished - Nov 2011

ASJC Scopus subject areas

  • Medicine(all)

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