Original Research Article
Year: 2023 | Month: January | Volume: 10 | Issue: 1 | Pages: 734-737
DOI: https://doi.org/10.52403/ijrr.20230184
Outcome of Patients with Right Ventricular Infarction in Inferior Wall Myocardial Infarction
Rohit Singh Bagal1, Ouber Qayoom2, Ritika Choudhary3, Rameesa Batul4
1Senior Resident, Department of Medicine, GMC Jammu, J&K, India.
2Senior Resident, Department of Cardiology, GMC Jammu, J&K, India.
3Post Graduate, Department of Obstetrics and Gynaecology, GMC Jammu, J&K, India.
4Senior Resident, Department of Anaesthesia, SKIMS Soura, J&K, India.
Corresponding Author: Rameesa Batul
ABSTRACT
INTRODUCTION: IWMI is associated with increased risk of death, shock, ventricular tachycardia or fibrillation and atrioventricular block (AVB), and a higher mortality rate for the first month post MI in patients with RVMI.
AIMS & OBJECTIVES: To study the complications and in-hospital mortality in IWMI with RVMI.
MATERIALS AND METHODS: A total of 100 patients of IWMI were recruited and screened for RVMI and complications and in-hospital mortality was recorded. RESULTS; It was observed that patients with IWMI had CHD, more commonly in RVI (7.14%) as compared with NRVI group (1.38%). Bradyarrhythmia was found in 7 cases (25%) in RVI group as compared to 3 (4.16%) in NRVI group which was statistically significant. (p= 0.002). A high mortality of 10.71% was observed in RVI group as compared to 2.77% in NRVI group (p= 0.05).
DISCUSSION: In the present study, prevalence of CHB and second-degree AV block was found to be 4% and 3%, respectively, among patients with IWMI, which is lower than earlier studies. In the present study, 1 patient presented with cardiogenic shock, in each group of IWMI. In our study, total in-hospital mortality in IWMI was found to be 5%, which is less than reported prevalence.
CONCLUSION: RVMI in IWMI is associated with some increased complications especially high degree AV block and CHB which harbour increased mortality.
Keywords: Right Ventricular Myocardial Infarction (RVMI), Inferior Wall Myocardial Infarction (IWMI), Atrioventricular block (AVB), Complete Heart Block (CHB), Right Ventricular Infarction (RVI). Non Right Ventricular Infarction (NRVI).
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