Hemodynamic pattern resembling pericardial constriction after acute inferior myocardial infarction with right ventricular infarction |
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| Authors: | Douglas P. Jensen James P. Goolsby Philip B. Oliva |
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| Affiliation: | 1. From the Division of Cardiology, Denver General Hospital Denver, Colorado, USA;2. From the Department of Medicine, University of Colorado School of Medicine, Denver, Colorado, USA |
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| Abstract: | Two patients with acute inferior myocardial infarction complicated by cardiogenic shock are presented. Cardiac catheterization 2 and 7 days after infarction, respectively, revealed a hemodynamic pattern resembling constrictive pericarditis. Right coronary occlusion proximal to the right ventricular marginal branches was present in both patients. Resolution of the constrictive hemodynamic pattern was demonstrated in the one survivor at repeat catheterization 7 weeks after infarction. The mechanism for constrictive hemodynamics in these patients is unclear. |
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| Keywords: | Address for reprints: James P. Goolsby Jr. MD Cardiology Division Denver General Hospital West 8th and Cherokee Street Denver Colorado 80204. |
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