A Pathognomonic Case of Isolated Acute Right Ventricular Infarction

Francesca Cortese, Marco Matteo Ciccone, Michele Clemente, Giacinto Calculli

Abstract


Isolated right ventricular infarction occurs only in about 3% of the overall myocardial ischemic episodes. Clinical presentation is often insidious and variable case by case. The correct diagnosis is therefore crucial for a proper management, and a good prognosis in the short and long term. It is based on the integration of clinical, electrocardiographic, and echocardiographic data. The revascularization strategy is the first line therapy. The involvement of the right ventricle determines an increased risk of death during hospitalization, on the other hand, the long-term prognosis is good. Our case report shows a case of isolated right ventricular infarction with ST segment elevation in right precordial leads, presenting with pathognomonic clinical and physio-pathological findings.


Keywords


right ventricular infarction; ST segment elevation; co-dominant right coronary artery

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DOI: https://doi.org/10.17987/icfj.v14i0.507

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