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The association of right ventricular dysfunction with in-hospital and 1-year outcomes in anterior myocardial infarction

  • Muhammed KeskinEmail author
  • Ahmet Okan Uzun
  • Mert İlker Hayıroğlu
  • Adnan Kaya
  • Tufan Çınar
  • Ömer Kozan
Original Paper
  • 68 Downloads

Abstract

In anterior ST-segment elevation myocardial infarction (STEMI), attention paid mainly to the left ventricle. The predictive significance of right ventricular (RV) dysfunction in patients with anterior STEMI has been frequently neglected. In this study, we evaluated the prognostic effect of RV dysfunction on in-hospital and long-term outcomes in patients with first anterior STEMI. A total of 350 patients without known coronary artery disease with first anterior STEMI and treated with primary percutaneous coronary intervention were prospectively enrolled in this study. In-hospital and long-term outcomes were compared between two groups of with or without RV dysfunction. In-hospital mortality was significantly higher in the RV dysfunction group (26.7% vs. 1.6%, P < 0.001). The RV dysfunction group also had a higher incidence of cardiogenic shock, recurrent myocardial infarction, target lesion revascularization and stent thrombosis. The 1-year overall survival in patients with and without RV dysfunction was 62.2% and 95.0% respectively. After multivariable analysis, RV dysfunction remained as an independent predictor for in-hospital and long-term mortality. RV dysfunction is an independent predictor of cardiogenic shock, recurrent myocardial infarction, and, in-hospital and long-term mortality in anterior STEMI. Therefore, attention should be paid to the function of right ventricle as in the left ventricle after anterior STEMI.

Keywords

Myocardial infarction Right ventricle Echocardiography Mortality 

Notes

Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

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Copyright information

© Springer Nature B.V. 2018

Authors and Affiliations

  1. 1.Department of CardiologySultan Abdulhamid Han Training and Research HospitalIstanbulTurkey
  2. 2.Department of CardiologyDortyol State HospitalHatayTurkey
  3. 3.Department of CardiologyDuzce UniversityDuzceTurkey
  4. 4.Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research HospitalIstanbulTurkey

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