Ahmed, R., Kamal, H., Elsayed, Z., Abd El All, M., Fareed, A. (2023). Echocardiographic Assessment of Right Ventricular Function in Patients with Acute Anterior wall Myocardial Infarction. The Egyptian Journal of Hospital Medicine, 90(2), 2249-2252. doi: 10.21608/ejhm.2023.285526
Rana Salah Eldein Ahmed; Hanan Mohamed Kamal; Zaynab Mohammed Elsayed; Mohamed Fawzy Abd El All; Ahmed Fareed. "Echocardiographic Assessment of Right Ventricular Function in Patients with Acute Anterior wall Myocardial Infarction". The Egyptian Journal of Hospital Medicine, 90, 2, 2023, 2249-2252. doi: 10.21608/ejhm.2023.285526
Ahmed, R., Kamal, H., Elsayed, Z., Abd El All, M., Fareed, A. (2023). 'Echocardiographic Assessment of Right Ventricular Function in Patients with Acute Anterior wall Myocardial Infarction', The Egyptian Journal of Hospital Medicine, 90(2), pp. 2249-2252. doi: 10.21608/ejhm.2023.285526
Ahmed, R., Kamal, H., Elsayed, Z., Abd El All, M., Fareed, A. Echocardiographic Assessment of Right Ventricular Function in Patients with Acute Anterior wall Myocardial Infarction. The Egyptian Journal of Hospital Medicine, 2023; 90(2): 2249-2252. doi: 10.21608/ejhm.2023.285526
Echocardiographic Assessment of Right Ventricular Function in Patients with Acute Anterior wall Myocardial Infarction
Background: The main cause of death globally is acute myocardial infarction (AMI), specifically acute coronary syndrome (ACS). In the setting of acute myocardial infarction, right ventricular (RV) infarction has a greater risk of adverse outcomes. Objective: The goal of this study was to evaluate the right ventricular function in patients with an acute anterior myocardial infarction. Patients and methods: This case control study included 60 participants who were divided into two groups; group 1 included 30 patients with acute anterior myocardial infarction (first attack and within 1-12 hours of symptoms onset), and group 2 (control group) included 30 age and gender matched group with no MI. All patients with acute anterior MI were managed by primary percutaneous coronary intervention (PCI). Results: Compared to control group, we found that the mean RIMP was significantly higher in the MI group (0.50 ± 0.081 vs 0.28 ± 0.043, p < 0.001), mean TAPSE was significantly lower in the MI group (1.76 ± 0.391 cm vs 2.38 ± 0.420 cm, p ˂ 0.001), mean fractional area change was significantly lower in the MI group (32.34 ± 3.625 % vs 48.00 ± 5.350 %, p ˂ 0.001), mean DTI-derived tricuspid lateral annular systolic velocity was significantly lower in the MI group (11.091 ± 2.0334 cm/s vs 13.077 ± 3.0285 cm/s, p= 0.014), and mean right ventricle strain was significantly lower in the MI group (-16.47 ± 3.246 vs -26.83 ± 2.276, p ˂ 0.001). Conclusion: Echocardiographic RV function parameters are significantly lower in the setting of acute anterior MI compared to controls denoting more RV dysfunction among this group of patients.
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