J 2021

Right ventricular myocardial infarction in the era of primary percutaneous coronary intervention

KOC, Lumír, Tomáš ONDRÚŠ, Petr FILA, S. RICHTER, Petr KALA et. al.

Basic information

Original name

Right ventricular myocardial infarction in the era of primary percutaneous coronary intervention

Authors

KOC, Lumír (203 Czech Republic, guarantor, belonging to the institution), Tomáš ONDRÚŠ (703 Slovakia, belonging to the institution), Petr FILA (203 Czech Republic, belonging to the institution), S. RICHTER (203 Czech Republic) and Petr KALA (203 Czech Republic, belonging to the institution)

Edition

Bratislava Medical Journal - Bratislavské lekárske listy, BRATISLAVA, Univerzita Komenského, 2021, 0006-9248

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Slovakia

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 1.564

RIV identification code

RIV/00216224:14110/21:00124316

Organization unit

Faculty of Medicine

UT WoS

000755925500003

Keywords in English

right ventricle myocardial infarction; primary PCI; CMR; mechanical circulatory support; echocardiography

Tags

International impact, Reviewed
Změněno: 28/2/2022 13:22, Mgr. Tereza Miškechová

Abstract

V originále

Right ventricular involvement (RVMI) is a relatively frequent complication in patients developing ST-elevation acute myocardial infarction. The initial diagnosis is most often established using electrocardiography or echocardiography. The gold standard among imaging techniques is cardiac magnetic resonance, which allows to distinguish between reversible and irreversible myocardial damage. The key treatment strategy is emergent revascularization by primary percutaneous coronary intervention whereas patients with hypotension and cardiogenic shock due to the RVMI require fluid replacement and catecholamine therapy. In cases where the shock state progresses despite an adequate management, short- or, possibly, long-term mechanical assist device should be implanted either percutaneously or surgically. Despite appreciable advances in the diagnosis and management, RVMI remains an independent predictor of early as well as late complications.