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The change in right ventricular systolic function according to the revascularisation method used, following acute ST -segment elevation myocardial infarction

OBJECTIVE: The level of right ventricular (RV) systolic function has prognostic importance in right ventricular ST-segment elevation myocardial infarction (RV-STEMI). This study aimed to evaluate the changes in RV systolic function in patients with RV-STEMI according to the revascularisation method...

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Autores principales: Gul, Ilker, Zungur, Mustafa, Islamli, Aysel, Aykan, Ahmet Cagri, Kalaycioğlu, Ezgi, Turan, Turhan, Gokdeniz, Tayyar, Alkan, Mustafa Beyazit, Sayin, Ahmet, Bilgin, Murat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Clinics Cardive Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4817064/
https://www.ncbi.nlm.nih.gov/pubmed/26956497
http://dx.doi.org/10.5860/CVJA-2015-077
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author Gul, Ilker
Zungur, Mustafa
Islamli, Aysel
Aykan, Ahmet Cagri
Kalaycioğlu, Ezgi
Turan, Turhan
Gokdeniz, Tayyar
Alkan, Mustafa Beyazit
Sayin, Ahmet
Bilgin, Murat
author_facet Gul, Ilker
Zungur, Mustafa
Islamli, Aysel
Aykan, Ahmet Cagri
Kalaycioğlu, Ezgi
Turan, Turhan
Gokdeniz, Tayyar
Alkan, Mustafa Beyazit
Sayin, Ahmet
Bilgin, Murat
author_sort Gul, Ilker
collection PubMed
description OBJECTIVE: The level of right ventricular (RV) systolic function has prognostic importance in right ventricular ST-segment elevation myocardial infarction (RV-STEMI). This study aimed to evaluate the changes in RV systolic function in patients with RV-STEMI according to the revascularisation method used for their management. METHODS: The first group consisted of 132 patients who received primary percutaneous coronary intervention (PPCI). The 78 patients who had received thrombolytic therapy (TT) in external centres before referral to our centre for PCI within three to 12 hours of RV-STEMI were included in the second group. All patients were evaluated by conventional and two-dimensional speckle-tracking echocardiography. RESULTS: There were 172 male patients and their mean age was 63.7 ± 11.8 years. There were no significant differences between the two groups with regard to right ventricular systolic parameters at admission and at the one-month follow-up visit. The echocardiographic changes between admission and the one-month follow up were investigated for the patients included in the study groups. Mean values of each parameter observed at the one-month follow up were significantly increased compared to those at admission within each group. CONCLUSION: Our study demonstrated that PCI within three to 12 hours following TT provided similar benefits on right ventricular systolic function compared to PPCI in patients with RV-STEMI.
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spelling pubmed-48170642016-04-22 The change in right ventricular systolic function according to the revascularisation method used, following acute ST -segment elevation myocardial infarction Gul, Ilker Zungur, Mustafa Islamli, Aysel Aykan, Ahmet Cagri Kalaycioğlu, Ezgi Turan, Turhan Gokdeniz, Tayyar Alkan, Mustafa Beyazit Sayin, Ahmet Bilgin, Murat Cardiovasc J Afr Cardiovascular Topics OBJECTIVE: The level of right ventricular (RV) systolic function has prognostic importance in right ventricular ST-segment elevation myocardial infarction (RV-STEMI). This study aimed to evaluate the changes in RV systolic function in patients with RV-STEMI according to the revascularisation method used for their management. METHODS: The first group consisted of 132 patients who received primary percutaneous coronary intervention (PPCI). The 78 patients who had received thrombolytic therapy (TT) in external centres before referral to our centre for PCI within three to 12 hours of RV-STEMI were included in the second group. All patients were evaluated by conventional and two-dimensional speckle-tracking echocardiography. RESULTS: There were 172 male patients and their mean age was 63.7 ± 11.8 years. There were no significant differences between the two groups with regard to right ventricular systolic parameters at admission and at the one-month follow-up visit. The echocardiographic changes between admission and the one-month follow up were investigated for the patients included in the study groups. Mean values of each parameter observed at the one-month follow up were significantly increased compared to those at admission within each group. CONCLUSION: Our study demonstrated that PCI within three to 12 hours following TT provided similar benefits on right ventricular systolic function compared to PPCI in patients with RV-STEMI. Clinics Cardive Publishing 2016 /pmc/articles/PMC4817064/ /pubmed/26956497 http://dx.doi.org/10.5860/CVJA-2015-077 Text en Copyright © 2015 Clinics Cardive Publishing http://creativecommons.org/licenses/by/2.5/ 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 work is properly cited.
spellingShingle Cardiovascular Topics
Gul, Ilker
Zungur, Mustafa
Islamli, Aysel
Aykan, Ahmet Cagri
Kalaycioğlu, Ezgi
Turan, Turhan
Gokdeniz, Tayyar
Alkan, Mustafa Beyazit
Sayin, Ahmet
Bilgin, Murat
The change in right ventricular systolic function according to the revascularisation method used, following acute ST -segment elevation myocardial infarction
title The change in right ventricular systolic function according to the revascularisation method used, following acute ST -segment elevation myocardial infarction
title_full The change in right ventricular systolic function according to the revascularisation method used, following acute ST -segment elevation myocardial infarction
title_fullStr The change in right ventricular systolic function according to the revascularisation method used, following acute ST -segment elevation myocardial infarction
title_full_unstemmed The change in right ventricular systolic function according to the revascularisation method used, following acute ST -segment elevation myocardial infarction
title_short The change in right ventricular systolic function according to the revascularisation method used, following acute ST -segment elevation myocardial infarction
title_sort change in right ventricular systolic function according to the revascularisation method used, following acute st -segment elevation myocardial infarction
topic Cardiovascular Topics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4817064/
https://www.ncbi.nlm.nih.gov/pubmed/26956497
http://dx.doi.org/10.5860/CVJA-2015-077
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