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Serial evaluation of right ventricular dysfunction associated with acute inferior myocardial infarction.

Publication ,  Journal Article
Yasuda, T; Okada, RD; Leinbach, RC; Gold, HK; Phillips, H; McKusick, KA; Glover, DK; Boucher, CA; Strauss, HW
Published in: Am Heart J
April 1990

Right ventricular (RV) function was evaluated serially by multigated blood pool imaging in 18 patients with RV dysfunction associated with acute inferior myocardial infarction. Radionuclide ventriculograms were performed on all patients within 18 hours of chest pain and again at 10 days. In addition, 15 of 18 patients had rest and exercise radionuclide ventriculograms at 3 months. The mean resting right ventricular ejection fractions (RVEF) at admission, 10 days, and 3 months in these patients was 31.8 +/- 12.6% (SD), 46.9 +/- 11.2% (p less than 0.05), and 44.5 +/- 10.2% (p less than 0.05), while the left ventricular ejection fractions were 55.9 +/- 10.6%, 57.9 +/- 13.3%, and 53.1 +/- 11.2% (p = ns). The 3-month exercise radionuclide ventriculogram demonstrated an increase in RVEF greater than 5% in 6 of 15 patients. In eight catheterized patients, neither the location nor the severity of coronary artery narrowing nor the presence of collaterals correlated with the RV exercise response. Improvement in RV function over a 10-day interval following acute inferior myocardial infarction suggests the presence of significant reversible right ventricular dysfunction during the acute phase.

Duke Scholars

Published In

Am Heart J

DOI

ISSN

0002-8703

Publication Date

April 1990

Volume

119

Issue

4

Start / End Page

816 / 822

Location

United States

Related Subject Headings

  • Time Factors
  • Stroke Volume
  • Myocardial Infarction
  • Myocardial Contraction
  • Middle Aged
  • Male
  • Humans
  • Gated Blood-Pool Imaging
  • Follow-Up Studies
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Yasuda, T., Okada, R. D., Leinbach, R. C., Gold, H. K., Phillips, H., McKusick, K. A., … Strauss, H. W. (1990). Serial evaluation of right ventricular dysfunction associated with acute inferior myocardial infarction. Am Heart J, 119(4), 816–822. https://doi.org/10.1016/s0002-8703(05)80317-5
Yasuda, T., R. D. Okada, R. C. Leinbach, H. K. Gold, H. Phillips, K. A. McKusick, D. K. Glover, C. A. Boucher, and H. W. Strauss. “Serial evaluation of right ventricular dysfunction associated with acute inferior myocardial infarction.Am Heart J 119, no. 4 (April 1990): 816–22. https://doi.org/10.1016/s0002-8703(05)80317-5.
Yasuda T, Okada RD, Leinbach RC, Gold HK, Phillips H, McKusick KA, et al. Serial evaluation of right ventricular dysfunction associated with acute inferior myocardial infarction. Am Heart J. 1990 Apr;119(4):816–22.
Yasuda, T., et al. “Serial evaluation of right ventricular dysfunction associated with acute inferior myocardial infarction.Am Heart J, vol. 119, no. 4, Apr. 1990, pp. 816–22. Pubmed, doi:10.1016/s0002-8703(05)80317-5.
Yasuda T, Okada RD, Leinbach RC, Gold HK, Phillips H, McKusick KA, Glover DK, Boucher CA, Strauss HW. Serial evaluation of right ventricular dysfunction associated with acute inferior myocardial infarction. Am Heart J. 1990 Apr;119(4):816–822.
Journal cover image

Published In

Am Heart J

DOI

ISSN

0002-8703

Publication Date

April 1990

Volume

119

Issue

4

Start / End Page

816 / 822

Location

United States

Related Subject Headings

  • Time Factors
  • Stroke Volume
  • Myocardial Infarction
  • Myocardial Contraction
  • Middle Aged
  • Male
  • Humans
  • Gated Blood-Pool Imaging
  • Follow-Up Studies
  • Female