Right ventricle infarction in patients with acute inferior wall infarction
Keywords:
Right Ventricular Infarction, Myocardial Infarction, Acute Inferior Wall Myocardial Infarction, St-segment.Abstract
Objective: to investigate the proportion of right ventricular infarction (RVI) in patients with acute inferior wall myocardial infarction.
Methods: A total of 100 patients with acute inferior wall myocardial infarction (MI) were selected for study. RVI was diagnosed through ST segments elevation in V4R or V3R to V6R. In these leads ST segment incidence was assessed and correlated with clinical findings.
Results: Acute inferior wall MI and ECG were performed, 66% patients showed elevated ST segments in lead V4R while 42% showed elevated ST segments in leads V3R to V6R. The difference was statistically insignificant. Overall complications were in 62% patients. The most common complications were ventricular fibrillation, conduction blocks and C-shock i.e. 28%, 16% and 11%, respectively.
Conclusion: Right ventricle infarction in inferior wall MI patients is common that can be diagnosed by ST elevation in precordial leads V3R, V4R to V6R. Mortality rate with right ventricle infarction is higher as compare to inferior wall MI alone.
