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Srce i krvni sudovi
2012, vol. 31, iss. 1, pp. 29-33
article language: Serbian
document type: Case Report

Importance of early recognition and treatmant of right ventricular myocardial infarction
aKlinički centar Srbije, Klinika za kardiologiju, Beograd
bKlinički centar Srbije, Pesmejker centar, Beograd
cKlinički centar Srbije, Klinika za kardiologiju, Beograd + Univerzitet u Beogradu, Medicinski fakultet, Beograd



There is significantly higher mortality rate in inferior infarctions associated with right ventricular infarctions, about 30 %, compared with 6 % in cases without right ventricular infarctions. The causes of the increased mortality rate are complications occurring in over 50 % of patients. The most frequent ones are conduction disturbances such as 2-nd and 3-rd degree AV block, atrial fibrillation and interventricular conduction disturbances. Also, rupture of the right ventricle free wall, interventricular septum and right ventricle papillary muscles are frequent. In this paper, a case of acute inferoposterior infarction with right ventricular infarction has been reported, with patient developing conduction complications, namely transient complete AV block, frequent ventricular extrasystoles and epistenocardiac pericarditis.



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