Cargando…
Right ventricular function in patients presenting with non-ST-segment elevation myocardial infarction undergoing an invasive approach
BACKGROUND: Right ventricular involvement in ST segment elevation myocardial infarction (STEMI) entails an increased morbidity and mortality. However, very scarce data is present on its affection in the setting of non-ST segment elevation myocardial infarction (NSTEMI). AIM: To assess the affection...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Egyptian Society of Cardiology
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123228/ https://www.ncbi.nlm.nih.gov/pubmed/30190639 http://dx.doi.org/10.1016/j.ehj.2018.04.004 |
_version_ | 1783352807306297344 |
---|---|
author | Elserafy, Ahmed Shawky Nabil, Ahmed Ramzy, Ali Ali Abdelmenem, Mohamed |
author_facet | Elserafy, Ahmed Shawky Nabil, Ahmed Ramzy, Ali Ali Abdelmenem, Mohamed |
author_sort | Elserafy, Ahmed Shawky |
collection | PubMed |
description | BACKGROUND: Right ventricular involvement in ST segment elevation myocardial infarction (STEMI) entails an increased morbidity and mortality. However, very scarce data is present on its affection in the setting of non-ST segment elevation myocardial infarction (NSTEMI). AIM: To assess the affection of right ventricular function in patients presenting with NSTEMI undergoing an invasive procedure. SUBJECTS AND METHODS: One hundred and fifty patients admitted with a first NSTEMI and eligible for reperfusion therapy via invasive percutaneous coronary intervention. These patients were divided in two groups; group A including patients with normal RV function, and group B including patients with impaired RV function as diagnosed by tricuspid annular plane systolic excursion (TAPSE) cutoff value < 17 mm. All patients underwent angioplasty and were followed up in-hospital and for 3 months. RESULTS: RV dysfunction occurred in ninety-five (61.3%) patients of the study population. Significant improvement occurred to TAPSE after 3 months in comparison to TAPSE at baseline (15.45 ± 3.21 versus 17.09 ± 4.17 mm). Those with impaired RV function showed improvement of TAPSE after three months as compared to baseline (13.62 ± 2.58 vs 17.16 ± 3.64 p = 0.008). Multivariate analysis determined the independent predictors of RV dysfunction as RVEDD > 26 mm, RVFAC < 35%, RAA > 20 cm(2), and TAPSE < 17 mm. CONCLUSION: RV dysfunction is not uncommon in NSTEMI when using the definition of TAPSE < 17 mm. Following up RV function by TAPSE, showed significant improvement after 3 months with successful PCI as compared to baseline. We recommend assessing and following up RV function in all patients admitted with a NSTEMI. |
format | Online Article Text |
id | pubmed-6123228 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Egyptian Society of Cardiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-61232282018-09-06 Right ventricular function in patients presenting with non-ST-segment elevation myocardial infarction undergoing an invasive approach Elserafy, Ahmed Shawky Nabil, Ahmed Ramzy, Ali Ali Abdelmenem, Mohamed Egypt Heart J Acute Coronary Artery Syndrome BACKGROUND: Right ventricular involvement in ST segment elevation myocardial infarction (STEMI) entails an increased morbidity and mortality. However, very scarce data is present on its affection in the setting of non-ST segment elevation myocardial infarction (NSTEMI). AIM: To assess the affection of right ventricular function in patients presenting with NSTEMI undergoing an invasive procedure. SUBJECTS AND METHODS: One hundred and fifty patients admitted with a first NSTEMI and eligible for reperfusion therapy via invasive percutaneous coronary intervention. These patients were divided in two groups; group A including patients with normal RV function, and group B including patients with impaired RV function as diagnosed by tricuspid annular plane systolic excursion (TAPSE) cutoff value < 17 mm. All patients underwent angioplasty and were followed up in-hospital and for 3 months. RESULTS: RV dysfunction occurred in ninety-five (61.3%) patients of the study population. Significant improvement occurred to TAPSE after 3 months in comparison to TAPSE at baseline (15.45 ± 3.21 versus 17.09 ± 4.17 mm). Those with impaired RV function showed improvement of TAPSE after three months as compared to baseline (13.62 ± 2.58 vs 17.16 ± 3.64 p = 0.008). Multivariate analysis determined the independent predictors of RV dysfunction as RVEDD > 26 mm, RVFAC < 35%, RAA > 20 cm(2), and TAPSE < 17 mm. CONCLUSION: RV dysfunction is not uncommon in NSTEMI when using the definition of TAPSE < 17 mm. Following up RV function by TAPSE, showed significant improvement after 3 months with successful PCI as compared to baseline. We recommend assessing and following up RV function in all patients admitted with a NSTEMI. Egyptian Society of Cardiology 2018-09 2018-05-10 /pmc/articles/PMC6123228/ /pubmed/30190639 http://dx.doi.org/10.1016/j.ehj.2018.04.004 Text en © 2018 Egyptian Society of Cardiology. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Acute Coronary Artery Syndrome Elserafy, Ahmed Shawky Nabil, Ahmed Ramzy, Ali Ali Abdelmenem, Mohamed Right ventricular function in patients presenting with non-ST-segment elevation myocardial infarction undergoing an invasive approach |
title | Right ventricular function in patients presenting with non-ST-segment elevation myocardial infarction undergoing an invasive approach |
title_full | Right ventricular function in patients presenting with non-ST-segment elevation myocardial infarction undergoing an invasive approach |
title_fullStr | Right ventricular function in patients presenting with non-ST-segment elevation myocardial infarction undergoing an invasive approach |
title_full_unstemmed | Right ventricular function in patients presenting with non-ST-segment elevation myocardial infarction undergoing an invasive approach |
title_short | Right ventricular function in patients presenting with non-ST-segment elevation myocardial infarction undergoing an invasive approach |
title_sort | right ventricular function in patients presenting with non-st-segment elevation myocardial infarction undergoing an invasive approach |
topic | Acute Coronary Artery Syndrome |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123228/ https://www.ncbi.nlm.nih.gov/pubmed/30190639 http://dx.doi.org/10.1016/j.ehj.2018.04.004 |
work_keys_str_mv | AT elserafyahmedshawky rightventricularfunctioninpatientspresentingwithnonstsegmentelevationmyocardialinfarctionundergoinganinvasiveapproach AT nabilahmed rightventricularfunctioninpatientspresentingwithnonstsegmentelevationmyocardialinfarctionundergoinganinvasiveapproach AT ramzyaliali rightventricularfunctioninpatientspresentingwithnonstsegmentelevationmyocardialinfarctionundergoinganinvasiveapproach AT abdelmenemmohamed rightventricularfunctioninpatientspresentingwithnonstsegmentelevationmyocardialinfarctionundergoinganinvasiveapproach |