Image in cardiology
Out-of-hospital cardiac arrest secondary to isolated right ventricular infarction
Paragem cardíaca extrahospitalar após enfarte isolado do ventrículo direito
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Benito Martín, Jose M. Rubín López, Cecilia Corros Vicente, Jesus M. De La Hera Galarza, Maria Martín Fernández" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Eva M." "apellidos" => "Benito Martín" ] 1 => array:2 [ "nombre" => "Jose M." "apellidos" => "Rubín López" ] 2 => array:2 [ "nombre" => "Cecilia" "apellidos" => "Corros Vicente" ] 3 => array:2 [ "nombre" => "Jesus M." "apellidos" => "De La Hera Galarza" ] 4 => array:2 [ "nombre" => "Maria" "apellidos" => "Martín Fernández" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204913001657?idApp=UINPBA00004E" "url" => "/21742049/0000003200000078/v1_201310270023/S2174204913001657/v1_201310270023/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in cardiology</span>" "titulo" => "Out-of-hospital cardiac arrest secondary to isolated right ventricular infarction" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "637" "paginaFinal" => "638" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan Ruiz-García, Luis Pardillos-Ferrer, Raúl Moreno" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Juan" "apellidos" => "Ruiz-García" "email" => array:1 [ 0 => "j.ruizgarcia@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Luis" "apellidos" => "Pardillos-Ferrer" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Raúl" "apellidos" => "Moreno" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Departamento de Hemodinâmica e de Cardiologia de Intervenção, Serviço de Cardiologia, Hospital Universitário La Paz, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Serviço de Urgências Médicas da Comunidade de Madrid, SUMMA 112, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Paragem cardíaca extrahospitalar após enfarte isolado do ventrículo direito" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1778 "Ancho" => 1801 "Tamanyo" => 568583 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Ventricular fibrillation responsible for out-of-hospital cardiac arrest; (B) electrocardiogram following advanced cardiopulmonary resuscitation maneuvers; (C) angiograms showing acute thrombotic occlusion of the right coronary artery; (D) dominant left circumflex artery; and (E) final result of primary angioplasty of the non-dominant right coronary artery with recovery of flow in the two acute marginal branches to the right ventricle (arrows); (F) electrocardiogram with ST-segment elevation in leads V2R-V4R, confirming right ventricular ischemic injury.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 77-year-old man suffered out-of-hospital cardiac arrest (CA) secondary to ventricular fibrillation (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A). The electrocardiogram (ECG) following resuscitation showed ST-segment elevation in V1-V3 (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B), and he was transferred to our center for urgent coronary angiography. Acute thrombotic occlusion of a non-dominant and poorly developed right coronary artery was observed (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>C and D), which was treated by angioplasty and stenting; this vessel had only two small acute marginal branches to the right ventricle (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>E).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Isolated right ventricular infarction is uncommon, and its first manifestation as CA due to ventricular fibrillation is even rarer in patients with a non-dominant right coronary artery. The electrocardiographic finding of ST-segment elevation in V1-V3 can be confused with anterior myocardial infarction; leads V2R-V4R can help in diagnosis (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>F).</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2013-01-22" "fechaAceptado" => "2013-02-04" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ruiz-García J, Pardillos-Ferrer L, Moreno R. Paragem cardíaca extrahospitalar após enfarte isolado do ventrículo direito. Rev Port Cardiol. 2013;32:637–638.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1778 "Ancho" => 1801 "Tamanyo" => 568583 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Ventricular fibrillation responsible for out-of-hospital cardiac arrest; (B) electrocardiogram following advanced cardiopulmonary resuscitation maneuvers; (C) angiograms showing acute thrombotic occlusion of the right coronary artery; (D) dominant left circumflex artery; and (E) final result of primary angioplasty of the non-dominant right coronary artery with recovery of flow in the two acute marginal branches to the right ventricle (arrows); (F) electrocardiogram with ST-segment elevation in leads V2R-V4R, confirming right ventricular ischemic injury.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003200000078/v1_201310270023/S2174204913001529/v1_201310270023/en/main.assets" "Apartado" => array:4 [ "identificador" => "9915" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003200000078/v1_201310270023/S2174204913001529/v1_201310270023/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204913001529?idApp=UINPBA00004E" ]
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