KAŇOVSKÝ, Jan, Petr KALA, Tomáš NOVOTNÝ, Klára BENEŠOVÁ, Mária HOLICKÁ, Jiří JARKOVSKÝ, Lumír KOC, Monika MIKOLÁŠKOVÁ, Tomáš ONDRÚŠ and Marek MALIK. Association of the right ventricle impairment with electrocardiographic localization and related artery in patients with ST-elevation myocardial infarction. Journal of Electrocardiology. Philadelphia: Churchill Livingstone Inc Medical Publishers, 2016, vol. 49, No 6, p. 907-910. ISSN 0022-0736. Available from: https://dx.doi.org/10.1016/j.jelectrocard.2016.08.001.
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Basic information
Original name Association of the right ventricle impairment with electrocardiographic localization and related artery in patients with ST-elevation myocardial infarction
Authors KAŇOVSKÝ, Jan (203 Czech Republic, guarantor, belonging to the institution), Petr KALA (203 Czech Republic, belonging to the institution), Tomáš NOVOTNÝ (203 Czech Republic, belonging to the institution), Klára BENEŠOVÁ (203 Czech Republic, belonging to the institution), Mária HOLICKÁ (703 Slovakia, belonging to the institution), Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution), Lumír KOC (203 Czech Republic, belonging to the institution), Monika MIKOLÁŠKOVÁ (703 Slovakia, belonging to the institution), Tomáš ONDRÚŠ (703 Slovakia, belonging to the institution) and Marek MALIK (203 Czech Republic).
Edition Journal of Electrocardiology, Philadelphia, Churchill Livingstone Inc Medical Publishers, 2016, 0022-0736.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.514
RIV identification code RIV/00216224:14110/16:00096070
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.jelectrocard.2016.08.001
UT WoS 000387633500024
Keywords in English Infarction related artery; Primary percutaneous coronary intervention; Right ventricle infarction; ST elevation myocardial infarction
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 17/5/2018 15:32.
Abstract
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.
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