冠心病人的右心室功能异常问题在最近10年中受到重视和研究,本文对此作一综述。一、急性心肌梗塞时的右心室功能1.右心室梗塞:根据过去50年中积累的尸检病理报告,3～43%的心脏标本存在着右心室坏死。其中死于急性心肌梗塞的病人中,右室梗塞的发生率超过30%;在死于急性心肌梗塞伴心源性休克的20例病人中,17例有右心室坏死。这些数据提出了右心室在致死性心肌梗塞中的作用这样一个重要问 Coronary heart disease in patients with right ventricular dysfunction in the last 10 years have received the attention and research, this article is reviewed. First, right ventricular function in acute myocardial infarction 1. Right ventricular infarction: According to the autopsy pathology reports accumulated over the past 50 years, 3 to 43% of the heart specimens present with right ventricular necrosis. Among the patients who died of acute myocardial infarction, the incidence of right ventricular infarction was over 30%. Of the 20 patients who died of acute myocardial infarction with cardiogenic shock, 17 had right ventricular necrosis. These data raise the important question of the role of the right ventricle in lethal myocardial infarction