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冠心病通常累及左心室。自1974年Cohn等报告6例右心室梗塞(RVI)的血液动力学测定结果并作出临床诊断以来,已引起临床注意。RVI的临床、血液动力学、实验室诊断及治疗均具有与左心室梗塞不同的特点。本文报告临床诊断RVI3例,其中1例经尸检证实。一病例资料(附表) 二讨论Cohn氏复习RVI文献,14%左心室梗塞病人同时有右心室游离壁受累及;24%左心室下壁梗塞病人有右心室受累;弧立性右心室梗塞仅占3%。Isner等分析236例穿壁性梗塞
Coronary heart disease usually involves the left ventricle. Since 1974, Cohn and other reports of 6 cases of right ventricular infarction (RVI) hemodynamic findings and make a clinical diagnosis, has attracted clinical attention. RVI clinical, hemodynamic, laboratory diagnosis and treatment with left ventricular infarction have different characteristics. This article reports the clinical diagnosis of RVI 3 cases, of which 1 case confirmed by autopsy. A case study (Table 2) discusses Cohn’s review of the RVI literature, 14% of patients with left ventricular infarction and right ventricular free wall involved; 24% of patients with left ventricular infarction have right ventricular involvement; arrhythmogenic right ventricular infarction only 3%. Isner and other analysis of 236 cases of transversal infarction