scholarly journals A study of the clinical profile of right ventricular infarction in context to inferior wall myocardial infarction in a tertiary care centre

2013 ◽  
Vol 4 (3) ◽  
pp. 170-176 ◽  
Author(s):  
Daanish Aijaz Chhapra ◽  
Sanket Kaushik Mahajan ◽  
Sanjay Tukaram Thorat
Keyword(s):  
Myocardial Infarction ◽  
Right Ventricular ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Inferior Wall ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Right Ventricular Infarction ◽  
Ventricular Infarction

scholarly journals Right Ventricular Myocardial Infarction : Presentation and Acute Outcomes

2018 ◽  
Vol 25 ◽  
pp. 42-46
Author(s):  
MN Huda ◽  
MZ Sayeed ◽  
MK Rahman ◽  
MMR Khan ◽  
ARMS Ekram
Keyword(s):  
Myocardial Infarction ◽  
Right Ventricular ◽  
Tertiary Care ◽  
Inferior Wall ◽  
Inferior Myocardial Infarction ◽  
Cross Sectional ◽  
Right Ventricular Infarction ◽  
Right Ventricular Myocardial Infarction ◽  
Number Of Patients ◽  
Ventricular Infarction

Right Ventricular Infarction (RVI) complicating inferior wall myocardial infarction (MI) is common and associated with significant morbidity and mortality. We try to systematically assess the incidence, clinical presentation and in hospital outcomes of right ventricular myocardial infarction in a tertiary-care set up. This study was a descriptive, cross sectional observational series of consecutive patients with RVMI. All patients with acute inferior myocardial infarction (n=100) were enlisted. RVMI was diagnosed by ≥1mm ST elevation in lead V4R in right sided electrocardiogram. RVI occurred in 31% (n=31) of patients of acute inferior infarctions. Patients with isolated inferior myocardial infarction served as controls (n=69). Echocardiography was performed within 24 hours of admission. From both groups, 51% were qualified for thrombolysis. The incidence of hypotension (96.7%), cardiogenic shock (64.5%), bradycardia and heart block were much higher in RVI than in inferior myocardial infarction. Clinically manifest RV dysfunction (raised jugular venous pulse, hypotension and tricuspid regurgitation) and right ventricular dilatation detected by echocardiography was seen in a variable number of patients. In hospital mortality rate was significantly higher (n=13, 41.9%) in right ventricular infarction group than in inferior myocardial infarction group (n=2, 2.9%)TAJ 2012; 25: 42-46

scholarly journals An analysis of incidence and complications of right ventricular infarction in patients with inferior wall myocardial infarction

2018 ◽  
Vol 70 ◽  
pp. S40-S41
Author(s):  
Waseem Rafeek Ahmed Nadaf, Shashikantha ◽  
Padmanabh Kamath ◽  
Narayana M. Bhat ◽  
Narasimha Pai ◽  
Rajesh Bhat ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Right Ventricular ◽  
Inferior Wall ◽  
Right Ventricular Infarction ◽  
Ventricular Infarction

scholarly journals Clinical profile of acute myocardial infarction patients: a study in tertiary care centre

2015 ◽  
Vol 3 (2) ◽  
pp. 412 ◽  
Author(s):  
Nagabhushana Seetharama ◽  
Ranganatha Mahalingappa ◽  
Ranjith GK ◽  
Virupakshappa Veerappa ◽  
Aravindh CL
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Care Centre ◽  
Tertiary Care Centre

scholarly journals STUDY OF RIGHT VENTRICULAR INFARCTION IN INFERIOR WALL MYOCARDIAL INFARCTION AT MEDICINE DEPARTMENT OF GMC, BETTIAH BIHAR

2020 ◽  
pp. 1-2
Author(s):  
Mahendra Kumar ◽  
Dharmendra Prasad ◽  
Parshuram Yugal ◽  
Debarshi Jana
Keyword(s):  
Myocardial Infarction ◽  
Right Ventricle ◽  
Right Ventricular ◽  
Left Ventricular ◽  
Inferior Wall ◽  
Medicine Department ◽  
Right Ventricular Infarction ◽  
St Elevation ◽  
Ventricular Infarction ◽  
Electrocardiogram Ecg

Background: Right ventricular infarction (RVI) is frequently associated with inferior wall myocardial infarction (MI). Methods: This study was designed to identify the burden of RVI in patientspresenting with inferior wall MI (n=50) byright precordial electrocardiogram (ECG) and comparing it with echocardiography (ECHO). Results: Their mean age was (54.5 ± 11.9 years); there were 42 males. ST elevation of greater than 1 mm in rightprecordial leads (RPL) suggestive of RVI was evident in 16 (32%) cases. Among the RPL (V3R - V6R) V4R and V5Rshowed sensitivity of 87.5%. The 12-lead ECG finding of ST-elevation greater than 1 mm in lead III and lead III/IIgreater than 1, had poor sensitivity (75%), specificity (88.2%) compared to ST- elevation of greater than 1 mm in any ofthe RPL (100%). Both the echocardiography criteria, namely right ventricular end-diastolic dimension (RVEDD) greaterthan 25 mm (92.3%) and the ratio of RVEDD to left ventricular end-diastolic dimension (RVEDD/LVEDD) greaterthan 0.7 (90%) indicating right ventricle (RV) dilatation was observed significantly more frequently in RVI group. Conclusions: RVI occurs in more than one-third of patients with acute inferior wall MI. All the patients with inferior wallMI should have RPL recorded as early as possible for evidence of RVI, of which V4R, V5R have the highest sensitivity.

scholarly journals Acute provoked pulmonary embolism masquerading as inferior wall myocardial infarction with right ventricular infarction

2021 ◽  
Vol 10 (2) ◽  
pp. 68
Author(s):  
Debasish Das ◽  
Tutan Das ◽  
Debasis Acharya ◽  
Shashikant Singh ◽  
JaideepDas Gupta ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Pulmonary Embolism ◽  
Right Ventricular ◽  
Inferior Wall ◽  
Right Ventricular Infarction ◽  
Ventricular Infarction

P264 Comparison of in-hospital mortality between acute inferior wall STEMI patients with right ventricular infarction and without right ventricular infarction undergoing a primary PCI in KCMH

2020 ◽  
Vol 41 (Supplement_1) ◽  
Author(s):  
S Preechawuttidej ◽  
S Srimahachota
Keyword(s):  
Myocardial Infarction ◽  
Hospital Mortality ◽  
Cardiogenic Shock ◽  
Right Ventricular ◽  
St Elevation Myocardial Infarction ◽  
Hospital Death ◽  
Inferior Wall ◽  
Right Ventricular Infarction ◽  
St Elevation ◽  
Ventricular Infarction

Abstract Background Patients with acute inferior wall ST elevation myocardial infarction, if there is a right ventricular myocardial infarction involvement, they have pretended a worse prognosis with hemodynamic and electrophysiologic complications causing higher in-hospital morbidity and mortality. However most patients in previous studies were mainly treated with intravenous fibrinolysis and also studied in the Caucasian populations. Objectives To compare the in-hospital mortality rate of patients with acute inferior wall ST elevation myocardial infarction with and without right ventricular infarction involvement, whom were treated with primary percutaneous coronary intervention (PPCI). Methods The study was a retrospective descriptive study which enrolled patients with acute inferior wall ST elevation myocardial infarction who were treated with PPCI in our hospital from 1 January 2007 - 31 December 2016. Results Among 452 acute inferior wall ST elevation myocardial infarction patients who were treated with PPCI, there were 99 patients who had right ventricular infarction involvement, the in-hospital mortality rate was 23.2%, mainly due to cardiogenic shock, compared with 5.1 % in patients who had no right ventricular infarction (p < 0.001). Patients with right ventricular infarction had a significantly higher incidence of cardiogenic shock (48.5% versus 15.6%, P < 0.001), the lower number of left ventricle ejection fraction (51.15 ± 17.27% versus 55.79 ± 12.46%, p = 0.037), the higher incidence of complete heart block (33.3% versus 11.9%, p < 0.001) and ventricular tachycardia (15.2% versus 5.9%, p = 0.003). After adjustment for age, female sex, diabetes, hypertension, previous myocardial infarction, cardiogenic shock on admission, left ventricular ejection fraction, ventricular tachycardia and complete heart block, the right ventricular infarction remained the independent predictor of in-hospital death (adjusted hazard ratio, 1.69; 95% confidence interval, 0.38 to 7.48; P = 0.489) and significant independent predictor for 1-year mortality (adjusted hazard ratio, 2.76; 95% confidence interval, 1.08 to 7.03; P = 0.034). Conclusion Patients with acute inferior wall STEMI whom were treated with PPCI, if there was right ventricular infarction involvement, the in-hospital death and 1-year mortality were significantly higher than who were without right ventricular infarction.

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