Assessment of right ventricular function in patients with acute myocardial infarction

Aher, Mahesh; Isser, H.S.; Chakraborthy, P.; Gupta, Preeti; Kumar, Mukesh; Jain, Ankit

doi:10.1016/j.ihj.2017.09.066

Cited by 2 publications

(4 citation statements)

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“…This suggests that contrary to the popular notion that right ventricular dysfunction is more common in IWMI, this study reveals that AWMI can result in a higher incidence of right ventricular dysfunction. This observation was in accordance with a study conducted by Aher et al [ 15 ]. However, in a study conducted by Abdelsabour et al, it was observed that IWMI cases result in a higher incidence of right ventricular dysfunction as compared to AWMI [ 16 ].…”

Section: Discussionsupporting

confidence: 94%

“…In addition, 27.9% of the AWMI cases had developed MACE during the course of hospital stay whereas only 12.5% of the IWMI cases were complicated by MACE. The above findings were in concordance with studies conducted by Stone et al and Aher et al and report that AWMI patients have a poorer prognosis as compared to patients of IWMI [ 17 , 15 ]. Another study done by Schmid et al had also shown that patients with TAPSE score ≤18 mm (suggesting right ventricular dysfunction) had poorer outcomes as compared to patients with TAPSE score >18 mm [ 11 ].…”

Section: Discussionsupporting

confidence: 93%

“…Among patients with TAPSE score ≤18 mm, 36.23% of patients had developed MACE whereas only 12.21% of patients with TAPSE score >18 mm had reported MACE. The above findings were in accordance with a study done by Aher et al in which they revealed that AMI patients with concomitant right ventricular dysfunction result in a higher incidence of MACE, longer duration of hospital stay, and higher mortality rate[15].…”

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confidence: 93%

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Assessment of Right Ventricular Function in Patients With Acute Myocardial Infarction

Baghel¹,

Tripathi²,

Vahab³

et al. 2022

Cureus

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IntroductionWe assessed the right ventricular function in patients with first acute anterior wall myocardial infarction (AWMI) and inferior wall myocardial infarction (IWMI) without associated right ventricular infarction and assessed the relation between right ventricular function and the in-hospital clinical outcomes. MethodsThe present study was an observational cross-sectional study, which enrolled a total of 200 patients with chest pain of <24 hours who were diagnosed with acute ST-segment elevation myocardial infarction (MI) for the first time. Echocardiography was performed with a special emphasis on the tricuspid annular plane systolic excursion (TAPSE) score. The in-hospital clinical outcomes include major adverse cardiac events (MACE), which refer to all-cause mortality, cardiovascular mortality, recurrent MI, heart failure, or stroke in patients with acute myocardial infarction (AMI). ResultsA total of 200 patients with AMI were enrolled in the study of which 66% were males. Of patients, 68% had AWMI and 32% had IWMI. Patients with AWMI had more right ventricular dysfunctional changes as compared to IWMI, as measured by TAPSE score (17.8 ± 4.64 mm vs. 19.87 ± 3.61; p = 0.01, respectively). The incidence of MACE was 27.9% in AWMI as compared to 12.5% in IWMI (41.9% vs. 18.75% had right ventricular dysfunction, respectively). The outcome of AWMI patients was poor as compared to IWMI patients, as measured by duration of hospital stay (9.5 ± 4.73 days and 6.6 ± 4.70 days, respectively) and mortality (17.64% in AWMI vs. 6.25% in IWMI). The patients of AMI with TAPSE score ≤18 mm, suggesting right ventricular dysfunction, had a higher rate of MACE compared to those with TAPSE score >18 mm, respectively, 36.23% vs. 12.2%. ConclusionFrom this study, it is concluded that AWMI results in a higher incidence of right ventricular dysfunction as compared to IWMI. Furthermore, patients with AMI with concomitant right ventricular dysfunction were found to have poorer outcomes in terms of longer duration of hospital stay, higher incidence of MACE, and higher mortality rate, as compared to patients of AMI without right ventricular dysfunction.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 93%

supporting

confidence: 93%

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Assessment of Right Ventricular Function in Patients With Acute Myocardial Infarction

Baghel¹,

Tripathi²,

Vahab³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…(15) Moreover, acute myocardial infarction, 40%-50% cases involve inferior wall of the heart. (16) Approximately 30%-50% of patients with this inferior infarction have some involvement of the right ventricle. Right ventricular infarction almost invariably develops in association with large infarction of adjacent septum and left ventricular inferior walls.…”

Section: Discussionmentioning

confidence: 99%

Relationship of Off-Pump Coronary Artery Bypass Surgery with the Cardiac Enzyme Troponin T, LVEF, TAPSE and Post-Operative Recovery

Chakrabarti¹,

Mahapatra²,

Mondal³

2020

jemds

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Assessment of right ventricular function in patients with acute myocardial infarction

Cited by 2 publications

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Assessment of Right Ventricular Function in Patients With Acute Myocardial Infarction

Assessment of Right Ventricular Function in Patients With Acute Myocardial Infarction

Relationship of Off-Pump Coronary Artery Bypass Surgery with the Cardiac Enzyme Troponin T, LVEF, TAPSE and Post-Operative Recovery

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