title: Primary percutaneous transluminal coronary angioplasty in the acute infarction of the right ventricle.
abstract: BACKGROUND
  Predilection site for the acute myocardial infarction of the right ventricle, (AMI-RV) is the upper third of the right coronary artery and for this reason such an infarction is followed by numerous complications, primarily by conduction disorders and very often by sudden and rapid cardiogenic shock development.
  
  
  METHODS
  Primary percutaneous transluminal coronary angioplasty (PPTCA) was performed on three patients, in whom the acute infarction of the right ventricular was diagnosed and who had been hospitalized six hours after the beginning of chest pain. In all three patients intracoronary stent was implanted. On the admission patients had been in the threatening cardiogenic shock, with the prominent chest pain and with the elevation of ST-segment in V4R > 2 mV. In the course of intervention patients were administered low-molecular intracoronary heparin, with direct platelet glycoprotein IIb/IIIa inhibitors (abciximab), according to the established procedure applied in such cases.
  
  
  RESULTS
  The complete dilatation of the infarcted artery was established with the signs of reperfusion and the further clinical course was completely normal, there was no heart failure and patients had no subjective difficulties.
  
  
  CONCLUSIONS
  Invasive approach in the treatment of AMI-RV is justifiable, and possibly the therapy of choice of these patients, providing well trained and equipped team is available.
authors.affiliation: Military Medical Academy, Clinic for Urgent Internal Medicine, Belgrade.
authors.forename: Branko
authors.initials: B
authors.lastname: Gligić
authors.forename: Vjekoslav
authors.initials: V
authors.lastname: Orozović
authors.forename: Slobodan
authors.initials: S
authors.lastname: Obradović
authors.forename: Sinisa
authors.initials: S
authors.lastname: Rusović
authors.forename: Jelena
authors.initials: J
authors.lastname: Kostić
authors.forename: Branislav
authors.initials: B
authors.lastname: Baskot
authors.forename: Dragan
authors.initials: D
authors.lastname: Dincić
authors.forename: Andelka
authors.initials: A
authors.lastname: Ristić-Andelkov
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D004562:Electrocardiography; D005260:Female; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000503:physiopathology / Q000628:therapy*; D015607:Stents