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©2014 Baishideng Publishing Group Co., Limited. All rights reserved.
Primary reperfusion in acute right ventricular infarction: An observational study
Eulo Lupi-Herrera, The American British Cowdray Medical Center I.A.P., Mexico City 14080, Mexico
Sergio Férez-Santander, Subdivisions of Clinical-Research and Teaching, National Institute of Cardiology Ignacio Chavez, Mexico City 14080, Mexico
Héctor González-Pacheco, Úrsulo Juárez-Herrera, Eduardo Chuquiure-Valenzuela, Coronary Care Unit, National Institute of Cardiology Ignacio Chavez, Mexico City 14080, Mexico
Nilda Espinola-Zavaleta, Ramón Villavicencio-Fernández, Marco Antonio Peña-Duque, Ernesto Ban-Hayashi, Echocardiography and Interventional Cardiology Departments, National Institute of Cardiology Ignacio Chavez, Mexico City 14080, Mexico
Author contributions: Lupi-Herrera E designed, performed the research, analyzed the obtained data and wrote the manuscript; González-Pacheco H, Juárez-Herrera Ú, Chuquiure-Valenzuela E performed the research, wrote the manuscript and analyzed the obtained data; Villavicencio-Fernández R, Peña-Duque MA, and Ban-Hayashi E performed the cardiac catheterization studies and primary percutaneous coronary intervention; Espinola-Zavaleta N analyzed the echocardiographic studies, provided new reagents and also were involved in writing and editing the manuscript; Férez-Santander S was involved in editing the manuscript.
Correspondence to: Eulo Lupi-Herrera, MD, FACC, Director of the Cardiovascular Division, The American British Cowdray Medical Center I.A.P., Sur 136-116, Col Las Américas, Mexico City 14080, Mexico. elupih@abchospital.com
Telephone: +52-33-308000 Fax: +52-33-308000
Received: July 3, 2013
Revised: September 11, 2013
Accepted: December 12, 2013
Published online: January 26, 2014
Processing time: 207 Days and 16.5 Hours
Revised: September 11, 2013
Accepted: December 12, 2013
Published online: January 26, 2014
Processing time: 207 Days and 16.5 Hours
Core Tip
Core tip: It is, up to our knowledge the largest series of acute right ventricular infarction (RVI) patients where all the clinical RVI spectrum is considered. RVI is analyzed in relation to primary reperfusion procedures, over a study period with a more widespread use of primary percutaneous coronary intervention (PPCI) together with the advent of stents and antiplatelet agents to provide a better insight into reperfusion trends and results in acute RVI. According to our findings, in all RVI hemodynamic scenario PPCI is superior to thrombolytic therapy (TT) and reduces short and long-term mortality for all 3 RVI categories. Patients in cardiogenic shock should be encouraged to undergo PPCI rather than TT at a specialized center.