Assessment of right ventricular function in patients presenting with inferior ST segment elevation myocardial infarction and right ventricular infarction undergoing primary percutaneous intervention by different echocardiographic modalities in correlation with angiographic findings

Abstract

Background: Right ventricular involvement appears to be an independent prognostic factor that increases in-hospital morbidity and mortality, thus, early RVMI diagnosis is essential to trigger an appropriately aggressive treatment protocol that may improve patients’ prognosis. Adequate fluid administration in combination with positive inotropic agents and early coronary reperfusion are the cornerstones of this treatment protocol Aim Of The Study: The main objective of the current study is assessment of right ventricular function in patients presenting with inferior wall myocardial infarction associated with RV infarction undergoing primary percutaneous coronary intervention by different echocardiographic parameters including tricuspid annular plane systolic excursion (TAPSE), myocardial systolic excursion velocity (S’), fractional area change (FAC) and RV free wall strain (RVFWS) in correlation with angiographic findings Patient and methods: This study included 60 patients presenting by inferior wall ST segment elevation myocardial infarction associated with RV infarction Results: The current study included 60 individuals who were recruited from Ain Shams university hospitals. All patients were recruited from the Coronary care unit (CCU) presenting with inferior wall myocardial infarction associated with RV infarction.