Right Ventricular Infarction: Prevalence, Diagnostic and Therapeutic Characteristics, and Prognosis about 10 CasesNgaïdé AA1*, Mbaye A1, Gaye ND2, Dioum M3, El Azizi AB1, Aw F2, Bèye SM4, Babaka S1, Moctar MA1, Sangaré Z1, Mingou JS2, Tabane A2, Ndiaye M1, Ka MaM1, Bah MB2, Lèye M3, Sarr A2, Bodian M2, Ndiaye MB2, Kane Ad4, Diao M2, Kane A1 and Ba SA2
- Corresponding Author:
- Aliou Alassane Ngaide
Cardiology Clinic of General Hospital Grand Yoff
BP: 3270 Dakar, Senegal
E-mail: [email protected]
Received Date: April 22, 2017; Accepted Date: May 15, 2017; Published Date: May 21, 2017
Citation: Ngaïdé AA, Mbaye A, Gaye ND, Dioum M, El Azizi AB, et al. (2017) Right Ventricular Infarction: Prevalence, Diagnostic and Therapeutic Characteristics, and Prognosis about 10 Cases. Angiol 5:195. doi:10.4172/2329-9495.1000195
Copyright: © 2017 Ngaïdé A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objectives: The objectives of this study were to evaluate the prevalence of the right ventricular infarction and its diagnostic, therapeutic and prognostic characteristics.
Patients and methods: A single center retrospective study was carried out between January 2011 and December 2014. Patients who were diagnosed with right ventricular infarction at electrocardiogram and echocardiography were recruited.
Outcomes: Among the 159 patients hospitalized for myocardial infarction, 10 had myocardial infarction extended to the right ventricle (6.3%). It occurred on an inferior infarction in 7 cases out of 35 and anterior infarction in 3 cases out of 124. The mean age was 53 years and sex ratio M/F of 2.33. All patients had at least 3 cardiovascular risk factors. Right-sided heart failure was found in 4 patients. Right ventricular infaction was associated with inferior STEMI in 7 patients, and anterior STEMI in 3 patients. Echocardiography showed right ventricular dilatation and impaired right ventricular systolic function in respectively 6 cases. Thrombolysis was performed in 7 patients and rescue angioplasty in 1 case. A regressive cardiogenic collapse was noted in 6 cases and one death in 1 case.
Conclusion: Right ventricular infarction is relatively rare and usually related to an extension of an inferior myocardial infarction. Hemodynamic instability is of worse prognosis.