{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:54Z","timestamp":1753876254282,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2020,12,9]],"date-time":"2020-12-09T00:00:00Z","timestamp":1607472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Isolated right ventricular myocardial infarction (RVMI) due to a recessive right coronary artery (RCA) occlusion is a rare presentation. It is typically caused by right ventricle (RV) branch occlusion complicating percutaneous coronary intervention. We report a case of an isolated RVMI due to flush RCA occlusion presenting via our primary percutaneous coronary intervention ST-elevation myocardial infarction pathway.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 61-year-old female smoker with a history of hypercholesterolaemia presented via the primary percutaneous coronary intervention pathway with sudden onset of shortness of breath, dizziness, and chest pain while walking. Transradial coronary angiography revealed a normal left main coronary artery, large left anterior descending artery that wrapped around the apex and dominant left circumflex artery with the non-obstructive disease. The RCA was not selectively entered despite multiple attempts. The left ventriculogram showed normal left ventricle (LV) systolic function. She was in cardiogenic shock with a persistent ectopic atrial rhythm with retrograde p-waves and stabilized with intravenous dobutamine thus avoiding the need for a transcutaneous venous pacing system. A computed tomography pulmonary angiogram demonstrated no evidence of pulmonary embolism while an urgent cardiac gated computed tomography revealed a recessive RCA with ostial occlusive lesion. A cardiac magnetic resonance imaging confirmed RV free wall infarction. She was managed conservatively and discharged to her local district general hospital after 5th day of hospitalization at the tertiary centre.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This case describes a relatively rare myocardial infarction presentation that can present with many disease mimics which can require as in this case, a multi-modality imaging approach to establish the diagnosis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa494","type":"journal-article","created":{"date-parts":[[2020,12,10]],"date-time":"2020-12-10T00:08:02Z","timestamp":1607558882000},"source":"Crossref","is-referenced-by-count":1,"title":["Isolated right ventricular myocardial infarction: a case report"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6174-8202","authenticated-orcid":false,"given":"Adeogo Akinwale","family":"Olusan","sequence":"first","affiliation":[{"name":"Department of Cardiology, Royal Victoria Hospital, Belfast, Co., Antrim BT12 6BA, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7038-0147","authenticated-orcid":false,"given":"Paul Francis","family":"Brennan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Royal Victoria Hospital, Belfast, Co., Antrim BT12 6BA, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul Weir","family":"Johnston","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Royal Victoria Hospital, Belfast, Co., Antrim BT12 6BA, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,12,9]]},"reference":[{"key":"2021062103203833500_ytaa494-B1","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1056\/NEJM199404283301707","article-title":"Right ventricular infarction","volume":"330","author":"Kinch","year":"1994","journal-title":"N Engl J Med"},{"key":"2021062103203833500_ytaa494-B2","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1093\/oxfordjournals.eurheartj.a014841","article-title":"Isolated acute occlusion of a large right ventricular branch of right coronary artery following coronary balloon angioplasty. 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