Isolated right ventricular infarction: a diagnostic challenge
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/1822/50384 |
Resumo: | A 73-year-old woman was admitted to the emergency room due to sudden-onset dyspnoea, altered mental status and haemodynamic instability. ECG showed a junctional rhythm, T-wave inversion in I, aVL and V2-V6 (present in a previous ECG), and no ST/T changes in the right precordial leads. Transthoracic echocardiography, however, revealed a severe depression of global systolic function of right ventricle with akinesia of free wall and a normal left ventricular function. Coronary angiography showed an occlusion of the proximal segment of the right coronary artery, which was treated with balloon angioplasty, and a chronic lesion of the anterior descending artery. The patient had a good recovery and was discharged on the 14th day. Myocardial perfusion scintigraphy (stress and rest) was performed a month later, showing a fixed perfusion defect in the apex and anterior wall (medium-apical), with no signs of ischaemia. |
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Isolated right ventricular infarction: a diagnostic challengeCiências Médicas::Medicina BásicaA 73-year-old woman was admitted to the emergency room due to sudden-onset dyspnoea, altered mental status and haemodynamic instability. ECG showed a junctional rhythm, T-wave inversion in I, aVL and V2-V6 (present in a previous ECG), and no ST/T changes in the right precordial leads. Transthoracic echocardiography, however, revealed a severe depression of global systolic function of right ventricle with akinesia of free wall and a normal left ventricular function. Coronary angiography showed an occlusion of the proximal segment of the right coronary artery, which was treated with balloon angioplasty, and a chronic lesion of the anterior descending artery. The patient had a good recovery and was discharged on the 14th day. Myocardial perfusion scintigraphy (stress and rest) was performed a month later, showing a fixed perfusion defect in the apex and anterior wall (medium-apical), with no signs of ischaemia.(undefined)info:eu-repo/semantics/publishedVersionBMJ Publishing GroupUniversidade do MinhoVieira, CatarinaJoão, André Santa CruzArantes, CarinaRocha, Sérgia2016-01-222016-01-22T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/50384engVieira, C., Santa Cruz, A., Arantes, C., & Rocha, S. (2016). Isolated right ventricular infarction: a diagnostic challenge. BMJ case reports, 2016, bcr20162153381757-790X10.1136/bcr-2016-21533827143166http://casereports.bmj.com/content/2016/bcr-2016-215338.abstractinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:33:59Zoai:repositorium.sdum.uminho.pt:1822/50384Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:29:35.551950Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Isolated right ventricular infarction: a diagnostic challenge |
title |
Isolated right ventricular infarction: a diagnostic challenge |
spellingShingle |
Isolated right ventricular infarction: a diagnostic challenge Vieira, Catarina Ciências Médicas::Medicina Básica |
title_short |
Isolated right ventricular infarction: a diagnostic challenge |
title_full |
Isolated right ventricular infarction: a diagnostic challenge |
title_fullStr |
Isolated right ventricular infarction: a diagnostic challenge |
title_full_unstemmed |
Isolated right ventricular infarction: a diagnostic challenge |
title_sort |
Isolated right ventricular infarction: a diagnostic challenge |
author |
Vieira, Catarina |
author_facet |
Vieira, Catarina João, André Santa Cruz Arantes, Carina Rocha, Sérgia |
author_role |
author |
author2 |
João, André Santa Cruz Arantes, Carina Rocha, Sérgia |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Vieira, Catarina João, André Santa Cruz Arantes, Carina Rocha, Sérgia |
dc.subject.por.fl_str_mv |
Ciências Médicas::Medicina Básica |
topic |
Ciências Médicas::Medicina Básica |
description |
A 73-year-old woman was admitted to the emergency room due to sudden-onset dyspnoea, altered mental status and haemodynamic instability. ECG showed a junctional rhythm, T-wave inversion in I, aVL and V2-V6 (present in a previous ECG), and no ST/T changes in the right precordial leads. Transthoracic echocardiography, however, revealed a severe depression of global systolic function of right ventricle with akinesia of free wall and a normal left ventricular function. Coronary angiography showed an occlusion of the proximal segment of the right coronary artery, which was treated with balloon angioplasty, and a chronic lesion of the anterior descending artery. The patient had a good recovery and was discharged on the 14th day. Myocardial perfusion scintigraphy (stress and rest) was performed a month later, showing a fixed perfusion defect in the apex and anterior wall (medium-apical), with no signs of ischaemia. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-01-22 2016-01-22T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1822/50384 |
url |
http://hdl.handle.net/1822/50384 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Vieira, C., Santa Cruz, A., Arantes, C., & Rocha, S. (2016). Isolated right ventricular infarction: a diagnostic challenge. BMJ case reports, 2016, bcr2016215338 1757-790X 10.1136/bcr-2016-215338 27143166 http://casereports.bmj.com/content/2016/bcr-2016-215338.abstract |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
BMJ Publishing Group |
publisher.none.fl_str_mv |
BMJ Publishing Group |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799132796522856448 |