RESUMO
An analysis of the right ECG precordial leads in 61 patients with left ventricular posteroinferior myocardial infarction and in 55 patients with combined affection of the right and left ventricular posteroinferior walls revealed a high informative value of ST segment elevation for recognition of right ventricular myocardial infarction on the 1st day. Further on the formation of the QS complex in V3R-5R leads was of certain value. Combined assessment of ST segment elevation and the QS formation in the right precordial leads significantly increased diagnostic potentialities in the detection of right ventricular myocardial infarction.
Assuntos
Eletrocardiografia/métodos , Infarto do Miocárdio/diagnóstico , Diagnóstico Diferencial , Eletrocardiografia/instrumentação , Eletrodos , Estudos de Avaliação como Assunto , Ventrículos do Coração/fisiopatologia , HumanosRESUMO
Proceeding from clinicomorphological correlations in 63 patients with combined right and left ventricular myocardial infarction and in 92 patients with isolated left ventricular myocardial infarction some features of heart coronary pathology that contributed to the formation of a process of different site in the right and left ventricles were revealed. A hypothesis of variants of the pathogenesis of myocardial infarction of the anterior and posterior free walls of the right ventricle was discussed.
Assuntos
Infarto do Miocárdio/diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Vasos Coronários/patologia , Diagnóstico Diferencial , Eletrocardiografia , Feminino , Ventrículos do Coração/patologia , Hemodinâmica , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/etiologia , Infarto do Miocárdio/mortalidade , Infarto do Miocárdio/patologia , Necrose , Fatores de TempoRESUMO
Based on observation over 7 patients with interventricular septum rupture associated with myocardial infarction of the left and right ventricles the authors assume a pathogenetic relationship between interventricular septum rupture and right ventricle involvement into the process. The dependence between the disease prognosis and right ventricle function is discussed.