Association of the right ventricle impairment with electrocardiographic localization and related artery in patients with ST-elevation myocardial infarction
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články, práce podpořená grantem
PubMed
27586500
DOI
10.1016/j.jelectrocard.2016.08.001
PII: S0022-0736(16)30156-X
Knihovny.cz E-zdroje
- Klíčová slova
- Infarction related artery, Primary percutaneous coronary intervention, Right ventricle infarction, ST elevation myocardial infarction,
- MeSH
- diagnóza počítačová metody MeSH
- dospělí MeSH
- dysfunkce pravé srdeční komory diagnóza epidemiologie MeSH
- elektrokardiografie metody statistika a číselné údaje MeSH
- infarkt myokardu s elevacemi ST úseků diagnóza epidemiologie MeSH
- kauzalita MeSH
- komorbidita MeSH
- lidé středního věku MeSH
- lidé MeSH
- nemoci koronárních tepen diagnóza epidemiologie MeSH
- reprodukovatelnost výsledků MeSH
- rizikové faktory MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- senzitivita a specificita MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika epidemiologie MeSH
INTRODUCTION: The right ventricular myocardial infarction (RVMI) has traditionally been mainly related to inferior wall ST elevation myocardial infarction (STEMI). This study assessed the RVMI electrocardiographic (ECG-RVMI) signs in relationship to ECG-based STEMI localization and to the infarct related artery in patients treated with primary percutaneous coronary intervention (pPCI). METHODS: Three hundred consecutive adult patients (107 females) were referred to catheterization laboratory with the acute STEMI diagnosis. In all patients, both the standard 12-lead ECGs and the right-sided precordial leads (V1R-V6R) were recorded. ECG-RVMI was diagnosed by ST segment elevation above 100μV in V4R. RESULTS: ECG signs of RVMI were found in 35 and 31 (23.8% for both) patients with inferior and anterior wall STEMI, respectively. In 32 ECG-RVMI patients, the right coronary artery (RCA) was occluded while in 34 patients, the occlusions were in the left anterior descending (LAD) or the left circumflex artery. No statistically significant differences were found in ECG-RVMI patients when comparing clinical variables between those with anterior and inferior wall STEMI. CONCLUSIONS: ECG signs of RVMI during acute STEMI are not uncommon. RCA was the infarction-related artery in only one half of these patients. Anterior wall STEMI and the LAD were associated with a significant proportion of ECG-RVMI cases.
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