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Case 2: 63-year old woman presented with central chest pain of two hours duration. On examination her blood pressure was 90/60 mm Hg, she had a weak pulse, distended neck veins with elevated jugular venous pressure, normal first and second heart sounds and lung fields were clear on auscultation. |
Ragavendra
R. Baliga, M.D
Assistant
Professor
Division
of Cardiology
University
Of Michigan
Question 16 of 17:
Right ventricular ischemia is associated with increased short-term morbidity and mortality as well as adverse long term-outcome.
You clicked 'False'
Incorrect!
The mere presence of right ventricular ischemia evident by non-invasive criteria is associated with significantly increased short-term morbidity and mortality and may also influence long term outcome (1-3).
References:
1. Zehender M, Kasper W, Kauder E et al. Right ventricular infarction as an independent predictor of prognosis after acute myocardial infarction. N Engl J Med 1993;328:981-988.
2. Berger PB, Ruocco NA Jr, Ryan TJ et al. Frequency and significance of right ventricular infarction during inferior wall left ventricular myocardial infarction treated with thrombolytic therapy (results from thrombolysis in myocardial infarction [TIMI] II trial): the TIMI research group. Am J Cardiol 1993;71:1148-1152.
3. Polak JF, Holman BL, Wynne J, Colucci WS. Right ventricular ejection fraction: an indicator of increased mortality in patients with congestive heart failure associated with coronary artery disease. J Am Coll Cardiol 1983;2:217-224.
Copyright 2001 by the University of Michigan Board of Regents. All rights reserved.