TITLE:
Clinical Profile and In-Hospital Outcome of Patients with Right Ventricular Myocardial Infarction
AUTHORS:
Stanley George, Mansi Patel, Ashok Thakkar
KEYWORDS:
Inferior Wall Myocardial Infarction, Right Ventricular Myocardial Infarction, Epidemiology, Clinical Profile, Mortality
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.5 No.8,
April
23,
2014
ABSTRACT: Objectives: Right ventricular myocardial
infarction as assessed by various diagnostic methods accompanies inferior wall
myocardial infarction in 30% to 50% of patients. Acute right ventricular
myocardial infarction is associated with higher in-hospital morbidity and
mortality related to life-threatening hemodynamic compromise and arrhythmias.
Since there is scarcity of literature regarding epidemiology of clinical
profile as well as in-hospital outcomes of patients with right ventricular
myocardial infarction in the Indian population, this study is carried out with
a goal of identifying the same in our hospital setting, to fulfill this void. Methods:
We examined the incidence of risk factors in patients (n = 100) with inferior
wall myocardial infarction and 100 patients with inferior wall myocardial
infarction having right ventricular involvement. Results: The mortality rate
was found to be 12% in patients with inferior wall myocardial infarction and
28% in patients having right ventricular involvement in inferior wall
myocardial infarction. Conclusions: From the above study, it can be concluded
that patients with inferior wall myocardial infarction who have right
ventricular myocardial involvement are at an increased risk of death, and
cardiogenic shock.