ASSESSMENT OF RIGHT VENTRICULAR FUNCTION IN ACUTE ST-ELEVATION MYOCARDIAL INFARCTION BY ECHOCARDIOGRAPHY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 87
Abstract
BACKGROUND Right Ventricular (RV) function has been shown to be a major determinant of clinical outcome and consequently should be considered during clinical management and treatment. Thus, the need for diagnosis of RV dysfunction is evident. MATERIALS AND METHODS 200 consecutive patients admitted with Acute ST-Elevation Myocardial Infarction to the ICCU of Osmania General Hospital, Hyderabad during the period of Jan. 2013 to Dec. 2013. All patients who presented with ST Elevation Myocardial Infarction for the first time within the 5 days of onset of symptoms, irrespective of age, gender and treatment status were included. RESULTS Incidence of RV dysfunction in study population by TAPSE<1.5 cm was 44 (22%). 23 (29.1%) patients with Inferior wall MI had RV dysfunction and 21 (17.3%) patients with anterior wall MI had RV dysfunction. Out of 200 patients with acute myocardial infarction, 22% (44/200) had RV dysfunction. Mean age of patients in RV dysfunction group was 57.4 ± 11.3 years and of patients in no-RV dysfunction (Normal RV function) group was 52.3 ± 11.2 years (p =0.008). 15.9% (7/44) patients in RV dysfunction group had past history of Coronary artery disease compared to 5.8% (9/156) in normal RV function group (p=0.02). CONCLUSION Nearly one fourth of patients with Acute ST-Elevation Myocardial Infarction had right ventricular dysfunction. LV dysfunction contributes significantly to RV dysfunction in acute myocardial infarction more so in anterior wall MI.
Authors and Affiliations
Karodi Murali Krishna
Keywords
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- EP ID EP277678
- DOI 10.14260/jemds/2017/1305
- Views 93
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