Angiographic Correlates of Acute ST Elevation Inferior Wall Myocardial Infarction with or Without Right Ventricular Involvement

Soumik Ghosh; Salini Mukhopadhyay; Tusharkanti Patra

doi:doi:10.11648/j.ccr.20220601.17

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Angiographic Correlates of Acute ST Elevation Inferior Wall Myocardial Infarction with or Without Right Ventricular Involvement

Soumik Ghosh, Salini Mukhopadhyay, Tusharkanti Patra

Published in Cardiology and Cardiovascular Research (Volume 6, Issue 1)

Received: 2 March 2022 Accepted: 26 March 2022 Published: 31 March 2022

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Abstract

Objectives: Right ventricular infarction (RVI) poses as an added risk factor in patients presenting with acute ST elevation inferior wall myocardial infarction (IWMI) with considerable high mortality. An early interventional therapeutic strategy after a prompt and accurate non-invasive investigative correlate is needed. Material and methods: We sampled 104 patients diagnosed with inferior wall infarction presenting with angina within 12 hours of angina. Investigations included routine blood investigation, 12 lead and right precordial lead electrocardiography, right ventricular (RV) systolic echocardiographic indices, and coronary angiography. Results: Majority of the patients had angiographic evidence of a dominant distal right coronary artery (RCA) culprit lesion. Those patients having ST elevation in RV4 lead had significantly higher incidences of RVI and high-grade atrio-ventricular (AV) blocks. Elderly diabetic patients with azotemia and deranged liver function predicted RVI among the study population. RV systolic indices like TAPSE was most accurate and S’ was found to be most specific in detecting RVI. Chi square test and multivariate regression analysis of echocardiographic parameters like RVDD, RVMPI, and S’ proved excellent surrogate non-invasive surrogate markers for specific angiographic culprit lesions. Conclusion: RV systolic echocardiographic indices shows a diagnostic accuracy of variable degrees in detecting right ventricular involvement in IWMI patients and also act as a surrogate marker in predicting the culprit lesion.

Published in	Cardiology and Cardiovascular Research (Volume 6, Issue 1)
DOI	10.11648/j.ccr.20220601.17
Page(s)	45-49
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Inferior Wall Myocardial Infarction, Right Ventricular Infarction, Coronary Angiography, Right Ventricular Systolic Indices, Atrio-ventricular Block

References

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APA Style

Soumik Ghosh, Salini Mukhopadhyay, Tusharkanti Patra. (2022). Angiographic Correlates of Acute ST Elevation Inferior Wall Myocardial Infarction with or Without Right Ventricular Involvement. Cardiology and Cardiovascular Research, 6(1), 45-49. https://doi.org/10.11648/j.ccr.20220601.17

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ACS Style

Soumik Ghosh; Salini Mukhopadhyay; Tusharkanti Patra. Angiographic Correlates of Acute ST Elevation Inferior Wall Myocardial Infarction with or Without Right Ventricular Involvement. Cardiol. Cardiovasc. Res. 2022, 6(1), 45-49. doi: 10.11648/j.ccr.20220601.17

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AMA Style

Soumik Ghosh, Salini Mukhopadhyay, Tusharkanti Patra. Angiographic Correlates of Acute ST Elevation Inferior Wall Myocardial Infarction with or Without Right Ventricular Involvement. Cardiol Cardiovasc Res. 2022;6(1):45-49. doi: 10.11648/j.ccr.20220601.17

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@article{10.11648/j.ccr.20220601.17,
  author = {Soumik Ghosh and Salini Mukhopadhyay and Tusharkanti Patra},
  title = {Angiographic Correlates of Acute ST Elevation Inferior Wall Myocardial Infarction with or Without Right Ventricular Involvement},
  journal = {Cardiology and Cardiovascular Research},
  volume = {6},
  number = {1},
  pages = {45-49},
  doi = {10.11648/j.ccr.20220601.17},
  url = {https://doi.org/10.11648/j.ccr.20220601.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20220601.17},
  abstract = {Objectives: Right ventricular infarction (RVI) poses as an added risk factor in patients presenting with acute ST elevation inferior wall myocardial infarction (IWMI) with considerable high mortality. An early interventional therapeutic strategy after a prompt and accurate non-invasive investigative correlate is needed. Material and methods: We sampled 104 patients diagnosed with inferior wall infarction presenting with angina within 12 hours of angina. Investigations included routine blood investigation, 12 lead and right precordial lead electrocardiography, right ventricular (RV) systolic echocardiographic indices, and coronary angiography. Results: Majority of the patients had angiographic evidence of a dominant distal right coronary artery (RCA) culprit lesion. Those patients having ST elevation in RV4 lead had significantly higher incidences of RVI and high-grade atrio-ventricular (AV) blocks. Elderly diabetic patients with azotemia and deranged liver function predicted RVI among the study population. RV systolic indices like TAPSE was most accurate and S’ was found to be most specific in detecting RVI. Chi square test and multivariate regression analysis of echocardiographic parameters like RVDD, RVMPI, and S’ proved excellent surrogate non-invasive surrogate markers for specific angiographic culprit lesions. Conclusion: RV systolic echocardiographic indices shows a diagnostic accuracy of variable degrees in detecting right ventricular involvement in IWMI patients and also act as a surrogate marker in predicting the culprit lesion.},
 year = {2022}
}

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TY  - JOUR
T1  - Angiographic Correlates of Acute ST Elevation Inferior Wall Myocardial Infarction with or Without Right Ventricular Involvement
AU  - Soumik Ghosh
AU  - Salini Mukhopadhyay
AU  - Tusharkanti Patra
Y1  - 2022/03/31
PY  - 2022
N1  - https://doi.org/10.11648/j.ccr.20220601.17
DO  - 10.11648/j.ccr.20220601.17
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 45
EP  - 49
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20220601.17
AB  - Objectives: Right ventricular infarction (RVI) poses as an added risk factor in patients presenting with acute ST elevation inferior wall myocardial infarction (IWMI) with considerable high mortality. An early interventional therapeutic strategy after a prompt and accurate non-invasive investigative correlate is needed. Material and methods: We sampled 104 patients diagnosed with inferior wall infarction presenting with angina within 12 hours of angina. Investigations included routine blood investigation, 12 lead and right precordial lead electrocardiography, right ventricular (RV) systolic echocardiographic indices, and coronary angiography. Results: Majority of the patients had angiographic evidence of a dominant distal right coronary artery (RCA) culprit lesion. Those patients having ST elevation in RV4 lead had significantly higher incidences of RVI and high-grade atrio-ventricular (AV) blocks. Elderly diabetic patients with azotemia and deranged liver function predicted RVI among the study population. RV systolic indices like TAPSE was most accurate and S’ was found to be most specific in detecting RVI. Chi square test and multivariate regression analysis of echocardiographic parameters like RVDD, RVMPI, and S’ proved excellent surrogate non-invasive surrogate markers for specific angiographic culprit lesions. Conclusion: RV systolic echocardiographic indices shows a diagnostic accuracy of variable degrees in detecting right ventricular involvement in IWMI patients and also act as a surrogate marker in predicting the culprit lesion.
VL  - 6
IS  - 1
ER  -

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Author Information

Soumik Ghosh

Department of Cardiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
Salini Mukhopadhyay

Department of Anesthesiology, Institute of Postgraduate Medical Education and Research, Kolkata, India
Tusharkanti Patra

Department of Cardiovascular Science, Institute of Postgraduate Medical Education and Research, Kolkata, India

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APA Style

Soumik Ghosh, Salini Mukhopadhyay, Tusharkanti Patra. (2022). Angiographic Correlates of Acute ST Elevation Inferior Wall Myocardial Infarction with or Without Right Ventricular Involvement. Cardiology and Cardiovascular Research, 6(1), 45-49. https://doi.org/10.11648/j.ccr.20220601.17

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ACS Style

Soumik Ghosh; Salini Mukhopadhyay; Tusharkanti Patra. Angiographic Correlates of Acute ST Elevation Inferior Wall Myocardial Infarction with or Without Right Ventricular Involvement. Cardiol. Cardiovasc. Res. 2022, 6(1), 45-49. doi: 10.11648/j.ccr.20220601.17

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AMA Style

Soumik Ghosh, Salini Mukhopadhyay, Tusharkanti Patra. Angiographic Correlates of Acute ST Elevation Inferior Wall Myocardial Infarction with or Without Right Ventricular Involvement. Cardiol Cardiovasc Res. 2022;6(1):45-49. doi: 10.11648/j.ccr.20220601.17

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@article{10.11648/j.ccr.20220601.17,
  author = {Soumik Ghosh and Salini Mukhopadhyay and Tusharkanti Patra},
  title = {Angiographic Correlates of Acute ST Elevation Inferior Wall Myocardial Infarction with or Without Right Ventricular Involvement},
  journal = {Cardiology and Cardiovascular Research},
  volume = {6},
  number = {1},
  pages = {45-49},
  doi = {10.11648/j.ccr.20220601.17},
  url = {https://doi.org/10.11648/j.ccr.20220601.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20220601.17},
  abstract = {Objectives: Right ventricular infarction (RVI) poses as an added risk factor in patients presenting with acute ST elevation inferior wall myocardial infarction (IWMI) with considerable high mortality. An early interventional therapeutic strategy after a prompt and accurate non-invasive investigative correlate is needed. Material and methods: We sampled 104 patients diagnosed with inferior wall infarction presenting with angina within 12 hours of angina. Investigations included routine blood investigation, 12 lead and right precordial lead electrocardiography, right ventricular (RV) systolic echocardiographic indices, and coronary angiography. Results: Majority of the patients had angiographic evidence of a dominant distal right coronary artery (RCA) culprit lesion. Those patients having ST elevation in RV4 lead had significantly higher incidences of RVI and high-grade atrio-ventricular (AV) blocks. Elderly diabetic patients with azotemia and deranged liver function predicted RVI among the study population. RV systolic indices like TAPSE was most accurate and S’ was found to be most specific in detecting RVI. Chi square test and multivariate regression analysis of echocardiographic parameters like RVDD, RVMPI, and S’ proved excellent surrogate non-invasive surrogate markers for specific angiographic culprit lesions. Conclusion: RV systolic echocardiographic indices shows a diagnostic accuracy of variable degrees in detecting right ventricular involvement in IWMI patients and also act as a surrogate marker in predicting the culprit lesion.},
 year = {2022}
}

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TY  - JOUR
T1  - Angiographic Correlates of Acute ST Elevation Inferior Wall Myocardial Infarction with or Without Right Ventricular Involvement
AU  - Soumik Ghosh
AU  - Salini Mukhopadhyay
AU  - Tusharkanti Patra
Y1  - 2022/03/31
PY  - 2022
N1  - https://doi.org/10.11648/j.ccr.20220601.17
DO  - 10.11648/j.ccr.20220601.17
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 45
EP  - 49
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20220601.17
AB  - Objectives: Right ventricular infarction (RVI) poses as an added risk factor in patients presenting with acute ST elevation inferior wall myocardial infarction (IWMI) with considerable high mortality. An early interventional therapeutic strategy after a prompt and accurate non-invasive investigative correlate is needed. Material and methods: We sampled 104 patients diagnosed with inferior wall infarction presenting with angina within 12 hours of angina. Investigations included routine blood investigation, 12 lead and right precordial lead electrocardiography, right ventricular (RV) systolic echocardiographic indices, and coronary angiography. Results: Majority of the patients had angiographic evidence of a dominant distal right coronary artery (RCA) culprit lesion. Those patients having ST elevation in RV4 lead had significantly higher incidences of RVI and high-grade atrio-ventricular (AV) blocks. Elderly diabetic patients with azotemia and deranged liver function predicted RVI among the study population. RV systolic indices like TAPSE was most accurate and S’ was found to be most specific in detecting RVI. Chi square test and multivariate regression analysis of echocardiographic parameters like RVDD, RVMPI, and S’ proved excellent surrogate non-invasive surrogate markers for specific angiographic culprit lesions. Conclusion: RV systolic echocardiographic indices shows a diagnostic accuracy of variable degrees in detecting right ventricular involvement in IWMI patients and also act as a surrogate marker in predicting the culprit lesion.
VL  - 6
IS  - 1
ER  -

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