J 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

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

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.