Key result
Right ventricular involvement occurs in about one third of patients with acute inferior myocardial infarction, increases in-hospital mortality, and often represents reversible myocardial stunning.
Recognizing right ventricular dysfunction in acute myocardial infarction is critical to avoid inappropriate treatment and anticipate in-hospital mortality risk.
May warrant RV assessment in inferior MI; leaves open prospective trials on targeted interventions.
The presence of right ventricular dysfunction in patients with acute myocardial infarction has important implications. It is a marker for in-hospital mortality and failure to recognize it may lead to inappropriate treatment with serious consequences for the patient. Patients surviving the acute event do, however, have a relatively good long-term prognosis.
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Burgess et al. (1999) conducted a review in Acute myocardial infarction with right ventricular involvement. Right ventricular involvement occurs in about one third of patients with acute inferior myocardial infarction, increases in-hospital mortality, and often represents reversible myocardial stunning.
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