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10.1136/bcr-2016-215338

http://scihub22266oqcxt.onion/10.1136/bcr-2016-215338
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C4885266!4885266!27143166
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suck abstract from ncbi


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pmid27143166      BMJ+Case+Rep 2016 ; 2016 (ä): ä
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  • Isolated right ventricular infarction: a diagnostic challenge #MMPMID27143166
  • Vieira C; Santa Cruz A; Arantes C; Rocha S
  • BMJ Case Rep 2016[]; 2016 (ä): ä PMID27143166show ga
  • A 73-year-old woman was admitted to the emergency room due to sudden-onset dyspnoea, altered mental status and haemodynamic instability. ECG showed a junctional rhythm, T-wave inversion in I, aVL and V2-V6 (present in a previous ECG), and no ST/T changes in the right precordial leads. Transthoracic echocardiography, however, revealed a severe depression of global systolic function of right ventricle with akinesia of free wall and a normal left ventricular function. Coronary angiography showed an occlusion of the proximal segment of the right coronary artery, which was treated with balloon angioplasty, and a chronic lesion of the anterior descending artery. The patient had a good recovery and was discharged on the 14th day. Myocardial perfusion scintigraphy (stress and rest) was performed a month later, showing a fixed perfusion defect in the apex and anterior wall (medium-apical), with no signs of ischaemia.
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