PMID: 11917200Mar 28, 2002Paper

Acute right ventricular infarction: clinical spectrum, results of reperfusion therapy and short-term prognosis

Coronary Artery Disease
Eulo Lupi-HerreraMarco Antonio Martínez-Rios

Abstract

The role of thrombolytic therapy (TT) and percutaneous coronary interventions (PCIs) in subgroups of patients with right ventricular infarction (RVI) has not been evaluated. We risk-stratified 302 patients with RVI into three subsets upon admission. Class A (n=197) comprised patients without right ventricular (RV) failure, Class B (n=69) with RV failure and Class C (n=36) with cardiogenic shock. All eligible patients in Class A or B received either PCI or TT. Patients in Class C eligible for reperfusion were treated with PCI. All patients were evaluated for in-hospital major adverse cardiac events and short-term mortality. There was a statistically significant difference in in-hospital mortality among the classes. Classes B and C were the strongest indicators of in-hospital mortality. By multivariate analysis TT or PCI did not reduce mortality in Classes A and B, but a clinically favorable trend in mortality reduction was documented: both methods decreased RV dysfunction in Class B (from 97% to 61% with TT and to 28% with PCI; P < 0.001) and PCI reduced the risk of mortality in Class C (89.5% compared with 58%; P < 0.05). Classification into types A, B or C allows the prediction of mortality. The use of TT or PCI suggests a cli...Continue Reading

References

May 1, 1985·Journal of the American College of Cardiology·M S VeraniA E Raizner
Oct 1, 1967·The American Journal of Cardiology·T Killip, J T Kimball
Nov 1, 1983·Annals of Internal Medicine·L J Dell'ItaliaR A O'Rourke
Nov 1, 1995·Journal of the American College of Cardiology·J W KinnW O'Neill
Apr 8, 1993·The New England Journal of Medicine·H J Wellens
Aug 1, 1997·Journal of the American College of Cardiology·E R Bates
Apr 2, 1998·The New England Journal of Medicine·T R BowersJ A Goldstein

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Citations

Nov 18, 2003·Intensive Care Medicine·Alexandre MebazaaLars Algotsson
Nov 27, 2007·International Journal of Cardiology·Ramesh M GowdaIjaz A Khan
Feb 10, 2007·Revista española de cardiología·Jesús Vargas-BarrónClara A Vázquez-Antona
Nov 7, 2006·São Paulo Medical Journal = Revista Paulista De Medicina·Afonso Celso PereiraValdir Golin

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