Show simple item record

dc.contributor.authorKrishnamurthy, Arvindra
dc.date.accessioned2017-03-06T14:53:25Z
dc.date.available2017-03-06T14:53:25Z
dc.date.issued2013
dc.identifier.citationBMJ Case Rep. 2013 Feb 4;2013. pii: bcr2012008398. doi: 10.1136/bcr-2012-008398.language
dc.identifier.urihttps://orda.derbyhospitals.nhs.uk/handle/123456789/1003
dc.description.abstractA 56-year-old smoker presented with a 3-day history of intermittent chest pain. Cardiovascular examination on admission was normal. ECG showed minimal (<1 mm) ST elevation in lead III, and right-sided leads revealed similar mild ST-elevation. Troponin I was elevated at 10.91. He was managed as a delayed-presentation ST-elevation myocardial infarction case. 12 h following admission, he developed oxygen-resistant hypoxia and hypotension. There were no clinical or radiological signs of pulmonary congestion. CT pulmonary angiogram revealed no pulmonary embolus. A bubble-contrast echocardiogram confirmed an active interatrial right-to-left shunt without Valsalva provocation. His hypoxia steadily improved over the following 24 h and he did not require any shunt closure. A repeat bubble contrast echocardiogram showed that the shunt was now only active following a Valsalva manoeuvre. Transoesophageal echocardiography confirmed a patent foramen ovale. This is a rare but important cause of resistant hypoxia following a right-heart infarct.language
dc.language.isoenlanguage
dc.titleTransient right-to-left intracardiac shunt following a right ventricular myocardial infarctionlanguage
dc.typeArticlelanguage


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record