RIGHT VENTRICULAR INFARCTION IN ASSOCIATION WITH INFERIOR MYOCARDIAL INFARCTION
Keywords:
Acute Myocardial Infarction, Acute Inferior Myocardial Infarction, Right Ventricular InfarctionAbstract
Objectives: To assess the frequency of right ventricular infarction (RVI) in patients with inferior myocardial
infarction (MI).
Material and Methods: This is a single centre discriptive study carried out at AFIC/NIHD Rawalpindi, Pakistan. One
hundred patients with acute inferior MI were selected excluding those with preinfarction arrhythmias.Specific clinical
findings of hypotension, raised jugular venous pulse(JVP), clear lung fields, Kussmaul’s venous sign and tricuspid
regurgitation(TR) were noted for each patient. A 12-lead ECG followed by additional leads of RV4, RV5 and RV6 were
done along with 2-D echocardiography for ventricular dilatation, wall asynergy and abnormal inter-ventricular
septum (IVS) motion.
Results: RVI was present in 29 (29%) patients.There is no impact of age, gender and risk factors on the incidence of
RVI in inferior MI. Out of these 29, the classic triad of hypotension, raised Jugular Venous Pressure (JVP) and clear
lung fields was present in 9(31%) cases, raised JVP with clear lung fields was present in 23(80%) patients. Kussmaul’s
venous sign and Tricuspid Regurgitation (TR) were present in 11(38%) and 17(59%) patients respectively. RVI was
confirmed by 2D Echocardiography.
Conclusion: RVI is not uncommon in patients with inferior MI.
Downloads
Published
How to Cite
Issue
Section
License
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.
