Right ventricular infarction and function.
Right ventricular infarction and function.
复制标题
右心室梗塞和功能。
DOI：
10.1016/0002-8703(81)90668-2
复制
发表时间：
1981
影响因子：
4.8
通讯作者：
Schwartz,KM
中科院分区：
文献类型：
--
作者：
Rackley,CE;RussellJr,RO;Mantle,JA;Rogers,WJ;Papapietro,SE;Schwartz,KM
传统上对急性心肌梗死左心室损伤程度的强调与左心室在循环机械支持中的主要作用有适当的关系。右心室梗塞最初是一种病理观察，直到血流动力学和放射性核素技术提供临床识别。从已发表的报告中建立了右心室梗死的临床表现谱，但其主要特点是：急性左心室梗死右室功能受损的治疗有待进一步的临床经验。l心源性休克的初步观察表明，右心室受累有时会对容量过载作出反应，随后左心室充盈压和心输出量增加。grosse和Spindola-Franc0在1981年1月的本刊中提出右室功能障碍在左室梗死扩大和室间隔破裂中的另一临床作用。因此，右心室梗死的病理生理学、临床识别、血流动力学意义和功能值得进一步分析。
Traditional emplhasis on the extent of damage to the left ventricle in acute myocardial infarction has been properly related to the primary role of that chamber in the mechanical support of the circulation. Right ventricular infarction was initially a pathological observation until hemodynamic and radionuclide techniques afforded clinical recognition. A spectrum of clinical presentations on right ventricular infarction has been established from published reports, but the mana. gement of impaired right ventricular function in acute infarction of the left ventricle has awaited further clinical experience. l Initial observations in cardiogenic shock suggested that right ventricular involvement sometimes responded to volume overloading with subsequent enhancement of left ventricular filling pressure and cardiac output. In the January, 1981, issue of this JOURNAL, Grose and Spindola-Franc0 propose another clinical role for right ventricular dysfunction in extension of left ventricular infarction and rupture of the ventricular septum. 2 Thus, the pathophysiology, clinical recognition,, and hemodynamic significance of right ventricular infarction and function warrant further analysis.