Roberts R, Marmor A T
Annu Rev Med. 1983;34:377-90. doi: 10.1146/annurev.me.34.020183.002113.
Right ventricular (RV) infarction, once considered rare, is now recognized as common in patients with inferior infarction. It usually involves the posterior wall of the right ventricle and seldom the anterior right ventricle. There is concomitant transmural injury to the posterior wall of the left ventricle and interventricular septum. Severe RV dysfunction may be associated with cardiogenic shock, and conventional treatment may be deleterious. Avoidance of diuretics and administration of fluids is associated with a much better prognosis. Hemodynamic monitoring is necessary and the diagnosis should be confirmed by radionuclide assessment. Exclusion of tamponade and constrictive pericarditis by echocardiography is often essential.
右心室梗死，曾被认为较为罕见，如今在伴有下壁梗死的患者中已被认定为常见情况。它通常累及右心室后壁，很少累及右心室前壁。同时存在左心室后壁和室间隔的透壁性损伤。严重的右心室功能障碍可能与心源性休克相关，传统治疗可能有害。避免使用利尿剂并给予补液与更好的预后相关。血流动力学监测是必要的，诊断应通过放射性核素评估来证实。通过超声心动图排除心包填塞和缩窄性心包炎往往至关重要。
