Forman M B, Goodin J, Phelan B, Kopelman H, Virmani R
J Am Coll Cardiol. 1984 Sep;4(3):640-3. doi: 10.1016/s0735-1097(84)80115-1.
Isolated infarction of the right ventricle is an extremely rare entity. A patient is described with diffuse interstitial lung disease who developed ST segment elevation in inferior and anterior leads on a routine electrocardiogram and at autopsy was found to have an isolated right ventricular infarct involving approximately 70% of the right ventricular circumference without involvement of the left ventricle and septum. This case illustrates that isolated right ventricular infarction in the presence of cor pulmonale and right ventricular hypertrophy can produce an injury current in the limb and precordial leads of the electrocardiogram which mimics that seen in typical transmural infarction of the left ventricle.
孤立性右心室梗死是一种极为罕见的病症。本文描述了一名患有弥漫性间质性肺疾病的患者，其在常规心电图检查中出现下壁和前壁导联ST段抬高，尸检发现有孤立性右心室梗死，累及右心室周长约70%，左心室和室间隔未受累。该病例表明，在存在肺心病和右心室肥厚的情况下，孤立性右心室梗死可在心电图的肢体导联和胸前导联产生损伤电流，类似于典型的左心室透壁梗死所见。
