Right ventricular myocardial infarction and pulmonary embolism differential diagnosis--a challenge for the clinician.

作者: Carmen Ginghina , Marinela Serban , Geana-Alina Caloianu , Dinu Dragomir

DOI:

关键词: Pulmonary embolismMyocardial infarctionRadiologyIntensive care medicineMedical literatureEmergency departmentMyocardial infarction diagnosisElectrocardiographyDifferential diagnosisMagnetic resonance angiographyMedicine

摘要: It is frequently recognized in medical literature as well daily clinical practice that right ventricular myocardial infarction and pulmonary embolism are two of the most challenging pictures to differentiate cardiology treatment, often chosen upon a mixture suspicion criteria subsequently confirmed by other diagnostic methods, can lead therapeutic success. Differential diagnosis difficult due similar picture, unspecific electrocardiographic changes biological markers. very important know risk factors associated comorbidities for these entities order be able interpret them contextually. In cases key suspicion. Usually evaluating we position choosing more complex procedures, likely not available Emergency Department. conclusion it expected from clinician use methods with thorough approach details but same time considering whole picture.

参考文章(43)
Andrew E. Arai, Glenn A. Hirsch, Q-Wave and Non-Q-Wave Myocardial Infarctions Through the Eyes of Cardiac Magnetic Resonance Imaging* Journal of the American College of Cardiology. ,vol. 44, pp. 561- 563 ,(2004) , 10.1016/J.JACC.2004.05.007
Udo Sechtem, Heiko Mahrholdt, Can delayed enhancement and T2-weighted imaging distinguish acute from chronic myocardial infarction? Nature Reviews Cardiology. ,vol. 1, pp. 22- 23 ,(2004) , 10.1038/NCPCARDIO0021
Jesse E. Adams III, Barry A. Siegel, James A. Goldstein, Allan S. Jaffe, Elevations of CK-MB following pulmonary embolism. A manifestation of occult right ventricular infarction. Chest. ,vol. 101, pp. 1203- 1206 ,(1992) , 10.1378/CHEST.101.5.1203
I. COMA-CANELLA, C. GAMALLO, P. MARTINEZ ONSURBE, J. LOPEZ-SENDON, Acute right ventricular infarction secondary to massive pulmonary embolism European Heart Journal. ,vol. 9, pp. 534- 540 ,(1988) , 10.1093/OXFORDJOURNALS.EURHEARTJ.A062540
C.J.F.M. MIDDELHOFF, W. BUTHKER, A.E. BECKER, Pure right ventricular infarction European Heart Journal. ,vol. 1, pp. 369- 374 ,(1980) , 10.1093/EURHEARTJ/1.5.369
D N Sharpe, E H Botvinick, D M Shames, N B Schiller, B M Massie, K Chatterjee, W W Parmley, The noninvasive diagnosis of right ventricular infarction. Circulation. ,vol. 57, pp. 483- 490 ,(1978) , 10.1161/01.CIR.57.3.483
Samuel Z. Goldhaber, Echocardiography in the management of pulmonary embolism. Annals of Internal Medicine. ,vol. 136, pp. 691- 700 ,(2002) , 10.7326/0003-4819-136-9-200205070-00012
James D. Douketis, Mark A. Crowther, Eric B. Stanton, Jeffrey S. Ginsberg, Elevated Cardiac Troponin Levels in Patients With Submassive Pulmonary Embolism Archives of Internal Medicine. ,vol. 162, pp. 79- 81 ,(2002) , 10.1001/ARCHINTE.162.1.79
Giuseppe Lippi, Luca Filippozzi, Martina Montagnana, Gian Luca Salvagno, Gian Cesare Guidi, Diagnostic value of D-dimer measurement in patients referred to the emergency department with suspected myocardial ischemia. Journal of Thrombosis and Thrombolysis. ,vol. 25, pp. 247- 250 ,(2008) , 10.1007/S11239-007-0060-6
Edwin Wu, Robert M Judd, John D Vargas, Francis J Klocke, Robert O Bonow, Raymond J Kim, Visualisation of presence, location, and transmural extent of healed Q-wave and non-Q-wave myocardial infarction. The Lancet. ,vol. 357, pp. 21- 28 ,(2001) , 10.1016/S0140-6736(00)03567-4