Assessment of right ventricular functions by echocardiography in patients with acute myocardial infarction in North India: An observational study

Showkat, Hakim İrfan; Anwar, Sadaf; Gupta, LC; Mishra, Rekha; Padmawati, S; Sarmast, Arif Hussain; Mujtaba, Basharat; Sharma, Vinod; Saxena, Saumya; Saxena, Sudheer

doi:10.4103/njc.njc_21_19

Cited by 1 publication

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“…The prevalence of dyslipidemia in AMI patients was 68%, which was in line with other similar studies on the Indian population [ 13 , 14 ]. The higher prevalence of dyslipidemia in India could be attributed to the lack of awareness on the importance of exercise, inappropriate diet habits, decreased access to health care, and genetic predisposition [ 11 ].…”

Section: Discussionsupporting

confidence: 91%

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: 91%