The presence of right ventricular myocardial infarction in the setting of acute inferior wall MI is associated with a significantly higher incidence of hemodynamic derangements, arrhythmias, conduction blocks, and mortality.
Highlights rising AMI burden in India; leaves open the role of emerging risk factors in developing countries.
Coronary artery disease is the commonest form of heart disease and the leading cause of morbidity and mortality throughout the world. Acute myocardial infarction (AMI) is the single most important cause of morbidity and mortality in India. There is increased incidence of acute myocardial infarction in developing countries because of multiple factors like unhealthy food habits, stress factors, increase in habits 3,4 like smoking and alcohol and rapid urbanization . 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. Right ventricular Myocardial infarction(RVMI) is diagnosed using right sided precordial leads (RPL) .With the introduction of RPL diagnosis of RVMI has become easy and economical. Isolated 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 RVMI is known to increase the chances of cardiogenic shock, 1 arrhythmias and conduction blocks .
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Thirumurugan et al. (2022) studied this question.
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