Assessment of right ventricular function after successful revascularization for acute anterior myocardial infarction without right ventricular infarction by echocardiography

BACKGROUND: Right ventricular (RV) involvement in acute left ventricular (LV) myocardial infarction (MI) is frequently underestimated in the clinical setting owing to the diagnostic limitations of the electrocardiogram and echocardiography

Bibliographische Detailangaben
Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 31(2019), 4 vom: 15. Okt., Seite 261-268
1. Verfasser: Abdeltawab, Adham Ahmed (VerfasserIn)
Weitere Verfasser: Elmahmoudy, Ahmed Mohamed, Elnammas, Waeil, Mazen, Amir
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2019
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article Acute myocardial infarction Myocardial performance index Right ventricle
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245 1 0 |a Assessment of right ventricular function after successful revascularization for acute anterior myocardial infarction without right ventricular infarction by echocardiography 
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520 |a BACKGROUND: Right ventricular (RV) involvement in acute left ventricular (LV) myocardial infarction (MI) is frequently underestimated in the clinical setting owing to the diagnostic limitations of the electrocardiogram and echocardiography 
520 |a OBJECTIVE: To assess RV function in patients presented with first acute anterior ST elevation myocardial infarction (STEMI) who underwent successful primary percutaneous coronary intervention (PCI) and factors affecting it 
520 |a METHODS: Forty consecutive patients with anterior STEMI who underwent successful primary PCI were enrolled in the study. Presence of a coexisting clinical condition that might affect RV function, patients with RV infarction or those having significant stenosis (>50%) affecting RV branch or right coronary artery proximal to RV branch were excluded. Echocardiography was performed during the hospital stay to assess the LV and RV systolic and diastolic function with special focus on tricuspid annular plane systolic excursion, RV end-diastolic dimension, right atrial area, RV fractional area change, and tissue Doppler-derived myocardial performance index 
520 |a RESULTS AND CONCLUSION: RV dysfunction according to our definition in the first anterior MI occurred in (55%) of the study population. Independent predictors for abnormal RV function were left circumflex artery mid or proximal affection, eventful procedure, occurrence of no reflow, glucose level, LV end-systolic dimension, LV end-diastolic dimension, and LV ejection fraction 
650 4 |a Journal Article 
650 4 |a Acute myocardial infarction 
650 4 |a Myocardial performance index 
650 4 |a Right ventricle 
700 1 |a Elmahmoudy, Ahmed Mohamed  |e verfasserin  |4 aut 
700 1 |a Elnammas, Waeil  |e verfasserin  |4 aut 
700 1 |a Mazen, Amir  |e verfasserin  |4 aut 
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