2016
Association of the right ventricle impairment with electrocardiographic localization and related artery in patients with ST-elevation myocardial infarction
KAŇOVSKÝ, Jan; Petr KALA; Tomáš NOVOTNÝ; Klára BENEŠOVÁ; Mária HOLICKÁ et al.Základní údaje
Originální název
Association of the right ventricle impairment with electrocardiographic localization and related artery in patients with ST-elevation myocardial infarction
Autoři
KAŇOVSKÝ, Jan; Petr KALA; Tomáš NOVOTNÝ ORCID; Klára BENEŠOVÁ; Mária HOLICKÁ; Jiří JARKOVSKÝ ORCID; Lumír KOC; Monika MIKOLÁŠKOVÁ; Tomáš ONDRÚŠ a Marek MALIK
Vydání
Journal of Electrocardiology, Philadelphia, Churchill Livingstone Inc Medical Publishers, 2016, 0022-0736
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30201 Cardiac and Cardiovascular systems
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 1.514
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/16:00096070
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Infarction related artery; Primary percutaneous coronary intervention; Right ventricle infarction; ST elevation myocardial infarction
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 17. 5. 2018 15:32, Soňa Böhmová
Anotace
V originále
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 100 mu V 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.