Evaluation of Right Ventricular Dysfunction after Successful Revascularization of Anterior Myocardial Infarction | ||||
| Benha Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 26 March 2025 PDF (936.17 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bmfj.2025.345274.2295 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Tarek El-Nahal  1; Ahmed Abdel Moneim Mohammed2; Ali Ibrahim Attia3; Mohammed Abdul Kader Elian3
| ||||
| 1Department of Cardiology, Faculty of Medicine, Benha University, Benha, Egypt | ||||
| 2Professor of Cardiology, Faculty of Medicine, Benha University, Benha, Egypt | ||||
| 3Assistant Professor of Cardiology, Faculty of Medicine, Benha University, Benha, Egypt | ||||
| Abstract | ||||
| Background: Myocardial infarction (MI) is defined as the irreversible necrosis of heart muscle resulting from a decrease in blood supply to the heart due to coronary artery occlusion. This study aimed to evaluate right ventricle (RV) function in patients diagnosed with anterior ST-elevation myocardial infarction (STEMI) without RV infraction after successful primary percutaneous coronary intervention (PCI). Methods: This quasi-interventional study included 48 patients diagnosed with anterior STEMI, they were divided into two groups: Group A (n=26): patients with RV dysfunction. Group B (n=22): patients without RV dysfunction. Results: The mean left ventricular end-systolic dimension (LVESD), left ventricular end-diastolic dimension (LVEDD) of group A was significantly higher than group B. The mean RVED mid cavity diameter, RVED basal diameter of group A while they were significantly different from group B. On the other side, the group B was found to significantly have higher EF% in relation with group A (p=0.014). Significantly, higher mean RVFAC in group B compared with group A (p<0.001). For RVMPI, it was significantly higher in in group A. However, tricuspid annular plane systolic excursion (TAPSE), and E/A ratio was significantly higher in group B (p<0.001), but right atrial area (RAA) showed significant higher mean in group A (p<0.001). Conclusion: Older age, higher diastolic blood pressure, increased LV dimensions, and decreased EF, HR, presence of extensive anterior infarction, LCX lesions were associated with abnormal RV dysfunction, older age, higher DBP & decrease HR were independently predictor factors of RV dysfunction by multivariant analysis. | ||||
| Keywords | ||||
| Right Ventricular; Dysfunction; Successful; Revascularization; Anterior Myocardial Infarction | ||||
|
Statistics Article View: 61 PDF Download: 38 |
||||
