Title: Clinical Profile of Right Ventricular Myocardial infarction in inferior Wall Myocardial Infarction
Authors: Dr Rajiv Girdhar, Dr Mahesh Manish, Dr Sudir Vigneshwar K.N., Dr Kruthika Sridharan, Dr Subhashree Jana
DOI: https://dx.doi.org/10.18535/jmscr/v8i6.69
Abstract
Introduction
Coronary artery disease is the commonest form of heart disease and the leading cause of morbidity and mortality throughout the world. Its prevalence among Indians has doubled during the past two decades1. Myocardial infarction is one of the most common diagnosis in hospitalized patients. Acute myocardial infarction is the single most important cause of morbidity and mortality in developed countries2. In developing countries, it follows infections. Now it is recognized as one of the major non-communicable public health problem. There is increased incidence of acute myocardial infarction in developing countries because of multiple factors like unhealthy food habits, stress factors, increase in habits like smoking and alcohol and rapid urbanization3,4. There is an advent of newer diagnostic techniques for the disease, but still ECG remains the pillar as it is non-invasive and easily available. Now right ventricular MI is diagnosed using right sided precordial leads (RPL) with introduction of RPL diagnosis of RVI has become easy and economical. RVMI is not uncommon in acute MI and has its own therapeutic and prognostic implications. Management of RVMI differs from other MIs. The presence of RVI is known to increase the chances of cardiogenic shock, arrhythmias and conduction blocks1.
Objectives
- To study the frequency and clinical profile of right ventricular MI in patient with inferior wall MI.
- To study prognosis in a patient admitted with right ventricular MI in patient among inferior wall MI.
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