Right Ventricular Involvement in Acute Left Ventricular Myocardial Infarction: Prognostic Implications of MRI Findings

Jensen, Christoph J; Jochims, Markus; Hunold, Peter; Sabin, Georg; Schlosser, Thomas; Bruder, Oliver

doi:10.2214/ajr.09.2829

Cited by 73 publications

(75 citation statements)

References 30 publications

(37 reference statements)

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“…13 The assessment of RV function and its predictors enables early identification of individuals who tend to have worse outcomes and poor prognosis. The present study, in agreement with previous reports, [14][15][16][17] confirms the ability of CMR to precisely evaluate RV function and quantify myocardial fibrosis.…”

Section: Discussionsupporting

confidence: 93%

Assessment of Right Ventricle Function and Myocardial Fibrosis by Cardiovascular Magnetic Resonance in Patients with Inferior Wall Myocardial Infarction

Lacerda

Almeida

Pinto

et al. 2017

International Journal of Cardiovascular Sciences

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Section: Discussionsupporting

confidence: 93%

Assessment of Right Ventricle Function and Myocardial Fibrosis by Cardiovascular Magnetic Resonance in Patients with Inferior Wall Myocardial Infarction

Lacerda

Almeida

Pinto

et al. 2017

International Journal of Cardiovascular Sciences

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“…Current research shows that RV involvement in acute left ventricular myocardial infarction (20)(21) and substantial ST elevation can be seen in inferior derivations in patients with anterior MI due to the mid portion of wrapped LAD lesions (1)(2)(3)(4)(5)9). Some investigators think this occurs because of transmural ischemia of the LV inferior wall supplied by the wrapped LAD (1)(2)(3)(4)(5)9).…”

Section: Rv and Inferior Wall Functionmentioning

confidence: 99%

Effect of termination of the left anterior descending coronary artery (wrapped or non-wrapped property) on tissue Doppler echocardiography findings in patients with anterior myocardial infarction: an observational study

Sönmez¹,

Vatankulu²,

Kayrak³

et al. 2012

Anadolu Kardiyol Derg

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Objective: We aimed to evaluate effect of termination property of left anterior descending (LAD) on tissue Doppler echocardiography (TDE) parameters in patients experiencing their first anterior myocardial infarction (AMI) who had undergone successful primary percutaneous coronary intervention (PCI) Methods: A prospective, cross-sectional observational study was performed. Eighty-four patients were enrolled in the study. Echocardiography was performed during the first three days of AMI. Conventional TDE measurements were obtained from right ventricular (RV) and four left ventricular (LV) walls: for the systolic function -mitral annular TDE systolic velocity -Sm, for diastolic function -mitral annular TDE early and late diastolic velocities -Em, Am, transmitral early and late diastolic velocities ratio -E/A, and combined systolic and diastolic function -myocardial performance index (MPI). Coronary arteries were evaluated and patients were divided into two groups (non-wrapped LAD and wrapped LAD) according to the termination properties. Student-t, Mann-Whitney U and Chi-square tests, bivariate Pearson and Spearman correlation analyses were used for statistical analysis. Results: Baseline characteristics and conventional echocardiographic parameters of the patients were similar. There was a statistically significant difference for the anterior wall Sm parameter, whereas there was no substantial difference for Em, Am and MPI values. The anterior wall Sm was more affected in patients with non wrapped LAD than in patients with wrapped LAD (6.70±1.66 and 7.44±1.66 cm/s; p=0.036,).The anterior Sm parameter was uniquely correlated with LAD termination status when compared with other independent parameters (r=0.236, p=0.036). Conclusion:We showed that termination of LAD is important for the anterior wall systolic functions in the early stage of AMI treated successfully. ( Original Investigation Özgün Araşt›rma 465ÖZET Amaç: Primer perkütan koroner girişim ile başarılı tedavi edilen anteriyor miyokart enfarktüs (AME) hastalarında sol ön inen koroner arter (LAD) sonlanımının doku Doppler ekokardiyografi(DDE) bulgularına etkisinin değerlendirilmesi amaçlandı.Yöntemler: Çalışma enine kesitli gözlemsel prospektif olarak planlandı. Seksen dört hasta çalışmaya dahil edildi. Hastalara ilk üç gün içinde ekokardiyografik değerlendirme yapıldı. Klasik DDE parametreleri sağ ventrikül (RV) lateral duvar ve sol ventriküle (LV) ait dört duvardan alındı. DDE parametreleri olarak; sistolik fonsiyonların değerlendirilmesinde -DDE mitral annüler sistolik hız değeri -Sm, diyastolik fonksiyonların -DDE mitral annüler erken ve E/A değerleri, kombine sistolik ve diyastolik fonksiyonların değerlendirilmesinde -miyokart performans indeksi (MPI) değeri kullanıldı. LAD sonlanım özelliğine göre iki gruba (sarılı olan ve olmayan LAD) ayrıldı. İstatistiksel analizde Student-t, Mann-Whitney U ve Ki-kare testleri, Pearson ve Spearman bivaryasyon korelasyon analizleri kullanıldı.

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“…wykazali, że CMR charakteryzuje się 100-procentową czułością i 78-procentową swoistością w wykrywaniu zawału PK w odniesieniu do zmian odcinka ST w V4R [22]. Póź-niejsze doniesienia wskazują, że nierzadko także w przebiegu zawału ściany przedniej lewej komory -w wolnej ścianie PK występuje późne wzmocnienie pokontrastowe świadczące o towarzyszącym zawale PK [23][24][25][26].…”

Section: Zastosowanie Rezonansu Magnetycznego W Diagnozowaniu Zawału unclassified

“…W dotychczas opublikowanych pracach zwraca uwagę stosunkowo duża rozbieżność w zakresie częstości wystę-powania zawału PK (9-54%) [24,27]. Znaczące różnice mogą wynikać z czasu, jaki upłynął od rozpoznania zawału mięśnia sercowego.…”

Section: Zastosowanie Rezonansu Magnetycznego W Diagnozowaniu Zawału unclassified

“…Powyższe rozważania znajdują odzwierciedlenie w wynikach opublikowanych prac. Zawał PK jest częściej stwierdzany (47-59%) w przypadku większych zawałów ściany dolnej niż w przypadku zawałów PK towarzyszących zawałom przedniej ściany (12-65%) [21,24,26]. Tak znaczące rozbieżności może też tłumaczyć fakt, że identyfikacja póź-nego wzmocnienia pokontrastowego w obrębie koniuszka PK nastręcza największych trudności [25].…”

Section: Zastosowanie Rezonansu Magnetycznego W Diagnozowaniu Zawału unclassified

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Right ventricular infarction in cardiovascular magnetic resonance

Kwieciński¹,

Kociemba²,

Siniawski³

et al. 2011

pwki

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223Zawał prawej komory serca w obrazowaniu metodą rezonansu magnetycznego Right ventricular infarction in cardiovascular magnetic resonance J Ja ac ce ek k K Kw wi ie ec ci iń ńs sk ki i 1 1 , , A An nn na a K Ko oc ci ie em mb ba a 1 1 , , A An nd dr rz ze ej j S Si in ni ia aw ws sk ki i 1 1, ,2 2 , , M Ma ag gd da al le en na a J Ja an nu us s 1 1, ,2 2 , , M Ma ag gd da al le en na a Ł Ła an no oc ch ha a 1 1, ,2 2 , , S St te ef fa an n G Gr ra aj je ek k 2 2 , , K Ka at ta ar rz zy yn na a K Ka ar rm me el li it ta a--K Ka at tu ul ls sk ka a 1 1 , , M Ma ał łg go or rz za at ta a P Py yd da a 1 1, ,2 2

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Right Ventricular Involvement in Acute Left Ventricular Myocardial Infarction: Prognostic Implications of MRI Findings

Abstract: Right ventricular involvement in ST-segment elevation MI is detected more frequently with cardiac MRI than with ECG and echocardiography and is an independent prognostic indicator.

Cited by 73 publications

References 30 publications

Assessment of Right Ventricle Function and Myocardial Fibrosis by Cardiovascular Magnetic Resonance in Patients with Inferior Wall Myocardial Infarction

Assessment of Right Ventricle Function and Myocardial Fibrosis by Cardiovascular Magnetic Resonance in Patients with Inferior Wall Myocardial Infarction

Effect of termination of the left anterior descending coronary artery (wrapped or non-wrapped property) on tissue Doppler echocardiography findings in patients with anterior myocardial infarction: an observational study

Right ventricular infarction in cardiovascular magnetic resonance

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