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Correspondence
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Volume 339:479-480 August 13, 1998 Number 7
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Right Ventricular Infarction

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 by Bowers, T. R.
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To the Editor: Bowers et al. (April 2 issue)1 report that complete reperfusion of the right coronary artery by angioplasty resulted in significant improvement of right ventricular function and outcome. We were not surprised by the fact that among 165 patients with inferior-wall myocardial infarction who underwent two-dimensional echocardiography, the images were technically inadequate in 41 (25 percent). In fact, recent studies have shown that two-dimensional echocardiography is not feasible in approximately 15 percent of cases.2 In addition, two-dimensional echocardiography does not provide hemodynamic information about right ventricular filling and pressures, which can be derived from Doppler echocardiographic studies. Finally, . . . [Full Text of this Article]

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