Right ventricular dysfunction (RVD) in acute coronary
syndromes occur either primary in infarction of the right ventricle mainly
caused by proximal occlusion of the right coronary artery or secondary ininfarction of the left ventricle with consecutive increase of pulmonary pressure.
The incidence of right myocardial infarction has ranged widely
according to the diagnostic technique used and the patients profile. It is
recognizable clinically in two thirds of hypotensive inferior infarction and
most inferior infarctions with cardiogenic shock. The recommended treatment in
acute myocardial infarction is percutaneous coronary intervention (PCI) with
stent deployment in order to restore myocardial perfusion. Dual inhibition of
platelet aggregation with a thienopyridine like clopidogrel and aspirin showed
a dramatic reduction of major adverse cardiac events after PCI. Read More>>>>>>>>>>>
No comments:
Post a Comment