Clinical importance of cardiac output dissociation between the right and left ventricle without evidence of an anatomical shunt

: Authors took note of transitoric cardiac output dissociation between the right and left ventricle during the treatment of the acute myocardial infarction controlled hemodynamically, without the presence of a provable anatomical shunt. They demonstrate some kinds of clinical appearances and call the attention to the clinical importance of the progressive cardiac output dissociation. The re-establishment of balance of the right and left cardiac output in resting position at the most optimal level of the oxygen demand, simultaneously the correction of the blood pressure and blood volume correlation can help the treatment of such acute cardiovascular cases which are complicated hemodynamic disturbances. The authors demonstrate a simple method for the registration of the cardiac output in the left and right ventricles. It has been found that the right cardiac output determined by the thermodilution method cannot be referred to the left one in such cases when the dissociation of cardiac output is present, because it can cause damage.