The change in right ventricular systolic function according to the revascularisation method used, following acute ST -segment elevation myocardial infarction

Gül, İlker; Zungur, Mustafa; Aykan, Ahmet Çağrı; Gökdeniz, Tayyar; Alkan, Mustafa; Sayın, Ahmet; İslamlı, Aysel; Bi̇lgi̇n, Murat; Kalaycıoğlu, Ezgi; Turhan, Turan

doi:10.5830/cvja-2015-077

Cited by 4 publications

(1 citation statement)

References 43 publications

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“…Successful revascularization by primary percutaneous coronary intervention (PPCI) usually improve the RV systolic function [ 4 ]. Patients who could pass the acute phase of ischemic RV dysfunction usually regain normal RV function over a period of weeks or months.…”

Section: Introductionmentioning

confidence: 99%

Right Atrial Volume Index as a Predictor of Persistent Right Ventricular Dysfunction in Patients with Acute Inferior Myocardial Infarction and Proximal Right Coronary Artery Occlusion Treated with Primary Percutaneous Coronary Intervention

Naseem¹,

Samir²

2021

Journal of the Saudi Heart Association

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Objectives Patients with right ventricular (RV) infarctions associated with inferior infarctions have higher rates of adverse events than isolated inferior infarctions. Right atrial volume index (RAVI) has recently been described as a predictor of clinical outcome in patients with chronic systolic heart failure and pulmonary hypertension. The aim of this study is to assess the ability of RAVI to predict the persistent RV dysfunction after acute inferior STEMI due to occlusion of proximal RCA. To the best of our knowledge, this is the first study to investigate the relation between RAVI and persistent RV dysfunction in such group of patients. Patients and methods Sixty-five consecutive patients with recent first acute inferior STEMI who underwent primary percutaneous coronary intervention (PPCI) were prospectively included in the study. Echocardiographic evaluation was performed at the time of discharge and at 3 months. All the patients underwent standard echocardiographic assessment using conventional 2D and tissue Doppler imaging (TDI). Results Patients were divided into two groups according to right ventricular function (RVF) 3 months after acute myocardial infarction (AMI). The normal RVF group included 41 (63%) patients and the impaired RVF group included 24 (37%) patients. RAVI was significantly higher in patients with impaired RVF (p=<0.001). RAVI was a predictor of persistently impaired RV function (odds ratio = 1.786, 95% confidence interval, 1.367–2.335, p value= <0.001) and (odds ratio = 1.829, 95% confidence interval, 1.358–2.462, p value= <0.001) in univariate and multivariable logistic regression analyses respectively. In receiving operator characteristics (ROC) curve analysis, RAVI with a cutoff value ≥ 30 ml/m 2 had a 87.5% sensitivity, a 92.24% specificity area under Receiving operator characteristics (ROC) curve = 0.964 for predicting persistently impaired RVF. Conclusion In patients with inferior STEMI with proximal RCA occlusion, RAVI is an independent predictor of persistently impaired RVF with a cut-off value ≥ 30 ml/m 2 .

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Section: Introductionmentioning

confidence: 99%

Right Atrial Volume Index as a Predictor of Persistent Right Ventricular Dysfunction in Patients with Acute Inferior Myocardial Infarction and Proximal Right Coronary Artery Occlusion Treated with Primary Percutaneous Coronary Intervention

Naseem¹,

Samir²

2021

Journal of the Saudi Heart Association

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Mysterious right ventricular function detection in isolated left anterior descending disease by speckle tracking imaging

El-Bahnasy

2023

Al-Azhar Assiut Medical Journal

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Background and aim Early detection of impaired right ventricle (RV) would give significant data for management strategy and prognosis in patients with history of cardiac disease. Echocardiography machine is still the first and most widely used cardiac imaging modality in diagnosing heart disease and assessing systolic and diastolic function with high accuracy. The study aimed to assess mysterious RV function in significant isolated left anterior descending (LAD) disease by imaging with speckle tracking, strain, and strain rate. Patients and methods The present study was a comparative prospective study included 100 participants, 50 patients with significant LAD disease who were candidates for Percutaneous coronary intervention (PCI) (group I), and 50 persons as a control group (group II). All participants were exposed to full medical history, clinical examination, ECG, conventional echo, tissue Doppler, speckle tracking imaging. Results Global longitudinal free wall strain was statistically lower in patient than control group (−19.21±4.11 in patient group vs. −23.73±1.53 in control group, P<0.001), and RV peak systolic strain rate was reduced in patient group than control group (−1.47±0.55 vs. −1.87±0.42, P<0.001). Conclusion In isolated significant LAD disease RV function should be assessed even after opening of LAD by PCI. New echo modality like strain and strain rate are useful echo methods to detect mysterious RV function in patients with significant LAD disease.

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

et al. 2020

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The change in right ventricular systolic function according to the revascularisation method used, following acute ST -segment elevation myocardial infarction

Cited by 4 publications

References 43 publications

Right Atrial Volume Index as a Predictor of Persistent Right Ventricular Dysfunction in Patients with Acute Inferior Myocardial Infarction and Proximal Right Coronary Artery Occlusion Treated with Primary Percutaneous Coronary Intervention

Right Atrial Volume Index as a Predictor of Persistent Right Ventricular Dysfunction in Patients with Acute Inferior Myocardial Infarction and Proximal Right Coronary Artery Occlusion Treated with Primary Percutaneous Coronary Intervention

Mysterious right ventricular function detection in isolated left anterior descending disease by speckle tracking imaging

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

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