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Srce i krvni sudovi
2012, vol. 31, br. 1, str. 29-33
jezik rada: srpski
vrsta rada: prikaz slučaja
doi:10.5937/siks1201029T


Značaj ranog prepoznavanja i pravilnog lečenja infarkta desne komore
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

e-adresa: drtomic@Eunet.rs

Sažetak

Bolesnici sa inferiornim infarktom i infarktom desne komore imaju značajno veći mortalitet od oko 30 % u odnosu na 6 % kod bolesnika koji nemaju infarkt desne komore. Uzrok povećanog mortaliteta su komplikacije koje se javljaju kod preko 50 % ovih bolesnika. Najčešće su poremećaji provođenja u vidu AV bloka II i III stepena, pojava apsolutne aritmije i inraventrikularne smetnje provođenja. Takođe su česte ruptura slobodnog zida desne komore, interventrikularnog septuma i papilarnih mišića desne komore. U radu je prikazan bolesnik sa akutnim inferoposteriornim infarktom i infarktom desne komore koji je bio komplikovan poremećajima provođenja u smislu tranzitornog kompletnog AV bloka, čestim ventrikularnim ekstrasistolama i epistenokardičnim perikarditisom.

Ključne reči

Reference

Assali, A.R., Teplitsky, I., Ben-Dor, I., Solodky, A., Brosh, D., Battler, A., Fuchs, S., Kornowski, R. (2007) Prognostic importance of right ventricular infarction in an acute myocardial infarction cohort referred for contemporary percutaneous reperfusion therapy. American Heart Journal, 153(2): 231-237
Berger, P.B., Ruocco, N.A., Ryan, T.J., Jacobs, A.K., Zaret, B.L., Wackers, F.J., Frederick, M.M., Faxon, D.P. (1993) Ventricular dysfunction during inferior wall left ventricular myocardial infarction treated with thrombolytic therapy (results from the Thrombolysis in Myocardial Infarction. Am J Cardiol, 71(13): 1148-52
Boersma, E., Mercado, N., Poldermans, D., Gardien, M., Vos, J., Simoons, M.L. (2003) Acute myocardial infarction. Lancet, 361(9360): 847-858
Jacobs, A.K., Leopold, J.A., Bates, E., Mendes, L.A., Sleeper, L.A., White, H., Davidoff, R., Boland, J., Modur, S., Forman, R., Hochman, J.S. (2003) Cardiogenic shock caused by right ventricular infarction: A report from the SHOCK registry. J Am Coll Cardiol, 41(8): 1273-9
Kinch, J.W., Ryan, T.J. (1994) Right ventricular infarction. N Engl J Med, 330(17): 1211-7
Larose, E., Ganz, P., Reynolds, H., Dorbala, S., di Carli, M.F., Brown, K.A., Kwong, R.Y. (2007) Right Ventricular Dysfunction Assessed by Cardiovascular Magnetic Resonance Imaging Predicts Poor Prognosis Late After Myocardial Infarction. Journal of the American College of Cardiology, 49(8): 855-862
Lopez-Sendon, J., Coma-Canella, I., Alcasena, S., Seoane, J., Gamallo, C. (1985) Electrocardiographic findings in acute right ventricular infarction: Sensitivity and specificity of electrocardiographic alterations in right precordial leads V4R, V3R, V1, V2, and V3. J Am Coll Cardiol, 6(6): 1273-9
Pfisterer, M., Emmenegger, H., Soler, M., Burkart, F. (1986) Prognostic significance of right ventricular ejection fraction for persistent complex ventricular arrhythmias and/or sudden cardiac death after first myocardial infarction: Relation to infarct location, size and left ventricular function. Eur Heart J, 7(4): 289-98
Polak, J.F., Holman, B.L., Wynne, J., Colucci, W.S. (1983) Right ventricular ejection fraction: An indicator of increased mortality in patients with congestive heart failure associated with coronary artery disease. J Am Coll Cardiol, 2(2): 217-24
Vujisić-Tešić, B., Petrović, M., Boričić, M., Kostić, J. (2006) Ehokardiografske promene u akutnom koronarnom sindromu. Acta clinica, vol. 6, br. 1, str. 52-57
Vukčević, V., Vasiljević, Z. (2000) Infarkt desne komore. u: Nedeljković S.I., Kanjuh V.I., Vukotić M.P. i dr. [ur.] Kardiologija, Beograd: Medicinski fakultet - Zavod za izdavačku delatnost, 1163-67
Wang, S., Fleischmann, K.E. (2002) Role of echocardiography in evaluating patients presenting to the emergency room with acute chest pain: Diagnosis, triage treatment decisions, outcomes. u: Otto C.M. [ur.] The practice of clinical echocardiography, Philadelphia: W.B. Saunders, str. 235-250
Wellens, J.J.H. (1993) Right ventricular infarction. New England Journal of Medicine, 328(14): 1036
Zehender, M., Kasper, W., Kauder, E., Schonthaler, M., Geibel, A., Olschewski, M., Just, H. (1993) Right ventricular infarction as an independent predictor of prognosis after acute inferior myocardial infarction. N Engl J Med, 328(14): 981-8