{"title":"A Novel Therapy for the Failing Right Ventricle in Acute Myocardial Infarction: The First Reported Cases.","authors":"Cui Zhao, Pengju Lu, Jixiang Wang, Yin Liu","doi":"10.1016/j.cjca.2024.09.036","DOIUrl":null,"url":null,"abstract":"<p><p>The presence of right ventricular failure (RVF) following a myocardial infarction significantly exacerbates short-term mortality(1). Successful percutaneous coronary intervention (PCI) benefits patients with cardiogenic shock (CS) complicating acute myocardial infarction(AMI) (2). When conventional treatment proves ineffective, the utilization of mechanical circulatory support (MCS) , such as right ventricle assist devices, may be considered (3). Regrettably, a considerable number of patients decline MCS due to financial constraints. Given these circumstances, we investigated to discuss two cases of AMI from right ventricular infarct with CS treated with fluid administration via the pulmonary artery catheter (PAC).</p>","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":null,"pages":null},"PeriodicalIF":5.8000,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Journal of Cardiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.cjca.2024.09.036","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
The presence of right ventricular failure (RVF) following a myocardial infarction significantly exacerbates short-term mortality(1). Successful percutaneous coronary intervention (PCI) benefits patients with cardiogenic shock (CS) complicating acute myocardial infarction(AMI) (2). When conventional treatment proves ineffective, the utilization of mechanical circulatory support (MCS) , such as right ventricle assist devices, may be considered (3). Regrettably, a considerable number of patients decline MCS due to financial constraints. Given these circumstances, we investigated to discuss two cases of AMI from right ventricular infarct with CS treated with fluid administration via the pulmonary artery catheter (PAC).
心肌梗死后出现右心室功能衰竭（RVF）会大大增加短期死亡率(1)。成功的经皮冠状动脉介入治疗（PCI）有利于急性心肌梗死（AMI）并发心源性休克（CS）患者（2）。当常规治疗无效时，可考虑使用机械循环支持（MCS），如右心室辅助装置（3）。遗憾的是，相当多的患者因经济拮据而拒绝接受机械循环支持治疗。在这种情况下，我们对两例右心室梗死合并 CS 的 AMI 病例进行了调查，并通过肺动脉导管（PAC）进行了输液治疗。
期刊介绍：
The Canadian Journal of Cardiology (CJC) is the official journal of the Canadian Cardiovascular Society (CCS). The CJC is a vehicle for the international dissemination of new knowledge in cardiology and cardiovascular science, particularly serving as the major venue for Canadian cardiovascular medicine.
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