In-Hospital Outcome of Right Ventricular Involvement in Patients with Acute Inferior Myocardial Infarction
American Journal of Internal Medicine
Volume 5, Issue 2, March 2017, Pages: 22-25
Received: Mar. 12, 2017; Accepted: Mar. 20, 2017; Published: Apr. 13, 2017
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Authors
Ahmad Bahie Elden, Critical Care Unit, Department of Internal Medicine, Assiut University, Assiut City, Egypt
Mahmoud Ali Mahmoud Ashry, Critical Care Unit, Department of Internal Medicine, Assiut University, Assiut City, Egypt
Mostafa Abdullah Haridi, Endocrinology Unit, Department of Internal Medicine, Assiut University, Assiut City, Egypt
Sara Hussein Abdelrazek, Department of Internal Medicine, Assiut University, Assiut City, Egypt
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Abstract
Aim of the Work: To study the in-hospital outcome of right ventricular involvement (RVI) in patients with acute inferior myocardial infarction (AIMI). Material and Methods: We conducted a short prospective study carried out on 60 patients with AIMI, classified into two groups; patients group: AIMI with RVI; inferior or infroposterior acute myocardial infarction (AMI) with ≥ 0.1 mV V4R elevation, and control group: AIMI without RVI; inferior or infroposterior AMI without ≥ 0.1 mV V4R elevation. We followed up both groups during their hospital stay and compared both groups regarding development of complications and mortality. Results: Patients with RVI in AIMI had more admission hyperglycaemia (268.80 ± 81.88 mg/dl vs. 219.80 ± 98.40 mg/dl, P value = 0.003), less incidence of complete ST elevation resolution (STR) (60.8% vs. 80.6%, p value = 0.032), more arrhythmic complications (3rd heart block [HB]: 6.7% vs. 0.0%, p value = 0.042, atrial fibrillation [AF]: 10.0% vs. 2.0%, p value = 0.036). Conclusions: Patients with RVI in AIMI had worse in-hospital outcome than patients without RVI in the form of more admission hyperglycemia, less incidence of complete STR and more arrhythmic complications.
Keywords
Right Ventricular Involvement, Acute Inferior Myocardial Infarction, Right Ventricular Infarction
To cite this article
Ahmad Bahie Elden, Mahmoud Ali Mahmoud Ashry, Mostafa Abdullah Haridi, Sara Hussein Abdelrazek, In-Hospital Outcome of Right Ventricular Involvement in Patients with Acute Inferior Myocardial Infarction, American Journal of Internal Medicine. Vol. 5, No. 2, 2017, pp. 22-25. doi: 10.11648/j.ajim.20170502.12
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Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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