Isolated Right Ventricular Infarction: A Case Report and Literature Review

Isolated right ventricular (RV) infarction is extremely rare and its diagnosis may be challenging, because RV infarction most often occurs simultaneously with infarction of the inferior wall of the left ventricle. A 66-year-old man with a history of diabetes mellitus presented with cold sweat and ge...

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Bibliographic Details
Published in:Internal Medicine 2022/02/15, Vol.61(4), pp.495-500
Main Authors: Hiraya, Daigo, Sato, Akira, Watabe, Hiroaki, Hoshi, Tomoya, Ieda, Masaki
Format: Article
Language:English
Subjects:
Aged
Case Report
Diabetes mellitus
Diagnosis
echocardiography
electrocardiogram
Heart
Heart Ventricles
Humans
Internal medicine
isolated right ventricular infarction
Literature reviews
Magnetic resonance imaging
Male
Myocardial infarction
Myocardial Infarction - complications
Myocardial Infarction - diagnostic imaging
Percutaneous Coronary Intervention - adverse effects
right precordial lead
Ventricle
Ventricular Dysfunction, Right - diagnostic imaging
Ventricular Dysfunction, Right - etiology
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Summary:Isolated right ventricular (RV) infarction is extremely rare and its diagnosis may be challenging, because RV infarction most often occurs simultaneously with infarction of the inferior wall of the left ventricle. A 66-year-old man with a history of diabetes mellitus presented with cold sweat and general malaise. Although his symptoms were atypical for myocardial infarction, he was quickly diagnosed with RV infarction and successfully underwent urgent percutaneous coronary intervention. He was definitely diagnosed with isolated RV infarction by a scintigram and cardiac magnetic resonance imaging. Our review showed the importance of the combined assessment in the diagnosis of isolated RV infarction.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.7920-21