Effect of Reperfusion on Biventricular Function and Survival after Right Ventricular Infarction
Why the study?
Does primary angioplasty improve right ventricular function and clinical outcomes in patients with acute right ventricular infarction?
Population
53 patients with acute right ventricular infarction
Comparison
Primary angioplasty resulting in complete… vs Unsuccessful reperfusion
Design
Cohort
Follow-up
3 days for echocardiographic follow-up
Authors
Discussion
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Member takes
Implication
Supports reperfusion benefit in RV infarction; hypothesis-generating and should not yet change practice.
Structured PICO
Does primary angioplasty improve right ventricular function and clinical outcomes in patients with acute right ventricular infarction?
P
Population
53 patients with acute right ventricular infarction
I
Intervention
Primary angioplasty resulting in complete reperfusion (normal flow in the right main coronary artery and its major right ventricular branches)
C
Comparator
Unsuccessful reperfusion (failure to restore right ventricular branch flow, with or without patency of the right main coronary artery)
O
Outcome
Right ventricular function (echocardiographic score for free-wall motion) and clinical outcome (mortality, persistent hypotension, and low cardiac output)composite
Complete reperfusion of the right coronary artery by primary angioplasty in acute right ventricular infarction dramatically improves right ventricular performance and reduces mortality.
Cite This Study
Bowers et al. (1998) studied this question.