急性下壁心肌梗死合并右心室梗死时类似心包缩窄的血流动力学模式
Hemodynamic pattern resembling pericardial constriction after acute inferior myocardial infarction with right ventricular infarction.
作者信息
Jensen D P, Goolsby J P, Oliva P B
出版信息
Am J Cardiol. 1978 Nov;42(5):858-61. doi: 10.1016/0002-9149(78)90108-x.
Two patients with acute inferior myocardial infarction complicated by cardiogenic shock are presented. Cardiac catheterization 2 and 7 days after infarction, respectively, revealed a hemodynamic pattern resembling constrictive pericarditis. Right coronary occlusion proximal to the right ventricular marginal branches was present in both patients. Resolution of the constrictive hemodynamic pattern was demonstrated in the one survivor at repeat catheterization 7 weeks after infarction. The mechanism for constrictive hemodynamics in these patients is unclear.
本文报告了两名急性下壁心肌梗死并发心源性休克的患者。梗死分别在第2天和第7天行心导管检查，结果显示血流动力学模式类似于缩窄性心包炎。两名患者均存在右心室边缘支近端的右冠状动脉闭塞。其中一名幸存者在梗死后7周再次行导管检查时，缩窄性血流动力学模式消失。这些患者出现缩窄性血流动力学的机制尚不清楚。
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