Why the study?
Does primary PTCA compared to delayed PTCA within one month improve right ventricular echocardiographic parameters in patients with acute inferior wall myocardial infarction?
Does primary PTCA compared to delayed PTCA within one month improve right ventricular echocardiographic parameters in patients with acute inferior wall myocardial infarction?
Primary PCI in acute inferior wall myocardial infarction restores right ventricular systolic function more rapidly and to a greater extent at 6 months compared to delayed PCI.
Risk of shock, arrhythmia and death due to Inferior Wall Myocardial Infarction (IWMI) is higher in the presence of Right Ventricular Myocardial Infarction (RVMI). RVMI along with IWMI (relative risk 3.0) usually results from occlusion of dominant Right Coronary Artery (RCA). Electrocardiogram (ECG) frequently fails to predict proximal RCA as infarct related artery. ECG changes are brief and disappear within 10 hours in 48% of cases. Therefore, its utility reduces in cases of late presentations. There is lack of literature validating usefulness of various echocardiographic parameters in assessing RV function after successful revascularisation procedures in patients presenting with acute IWMI. Aim: This research intends to assess right ventricle function by Tricuspid Annular Plane Systolic Excursion (TAPSE) and MPI by pulsed TDI in patients with acute IWMI after primary PTCA at discharge, 3 months and 6 months. 'Financial or Other Competing Interest': None.
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D et al. (2018) studied this question.
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