keyword
https://read.qxmd.com/read/37927618/echocardiographic-and-angiographic-assessment-of-right-ventricular-function-and-right-coronary-artery-stenosis-in-acute-inferior-wall-myocardial-infarction
#1
JOURNAL ARTICLE
Rajneesh Kumar, Prakash Kumar, Prabin K Srivastava, Prashant Kumar
BACKGROUND: Cardiovascular diseases (CVDs) are a global concern. CVD remains a primary cause of death despite reduced coronary heart disease death rates. Acute coronary syndrome (ACS) involves myocardial infarction (MI) and unstable angina, sharing mechanisms such as plaque instability. Our study assesses the right ventricular (RV) function's predictive value in acute inferior wall MI (IWMI) to identify high-risk patients with an elevated likelihood of experiencing severe cardiac complications, hemodynamic instability, or a higher mortality risk following an acute IWMI...
October 2023: Curēus
https://read.qxmd.com/read/35892168/acute-myocardial-infarction-in-a-young-adult-with-hyperhomocysteinaemia-secondary-to-tropical-sprue
#2
JOURNAL ARTICLE
Anila Vasireddy, Ami Mehul Mehta, Raviraja V Acharya, Brij Mohan Kumar Singh, Sharath P Madhyastha
Coronary heart disease and its complications remain the most common cause of morbidity and mortality throughout the world. In addition, its incidence among adults <45 years of age has also been steadily increasing in the past few decades. Besides the typical aetiology such as coronary artery abnormalities or autoimmune disorders, increasing rates can be attributed to escalating trends of obesity, type 2 diabetes mellitus, and illicit abuse of drugs such as cocaine and amphetamines in the younger population...
July 26, 2022: Tropical Doctor
https://read.qxmd.com/read/35371636/assessment-of-right-ventricular-function-in-patients-with-acute-myocardial-infarction
#3
JOURNAL ARTICLE
Praveen K Baghel, Sunil K Tripathi, Althaf A Vahab, Puneet Aggarwal
Introduction We assessed the right ventricular function in patients with first acute anterior wall myocardial infarction (AWMI) and inferior wall myocardial infarction (IWMI) without associated right ventricular infarction and assessed the relation between right ventricular function and the in-hospital clinical outcomes. Methods The present study was an observational cross-sectional study, which enrolled a total of 200 patients with chest pain of <24 hours who were diagnosed with acute ST-segment elevation myocardial infarction (MI) for the first time...
February 2022: Curēus
https://read.qxmd.com/read/35320245/tirofiban-and-rivaroxaban-use-in-the-management-of-right-coronary-artery-thrombus-as-a-primary-manifestation-of-essential-thrombocythemia
#4
Muhummad Nasir Rahman, Maleeha Javed
A 45 year old male with hypertension was presented to our centre with a recent inferior wall myocardial infarction (IWMI) and post infarction angina. Invasive coronary angiography revealed an occluded proximal right coronary artery (RCA) with high thrombus burden, in the absence of obstructive disease in the remaining coronary vasculature. Based on raised platelet counts of 923,000/microliter and positive Janus kinase (JAK 2- V617) mutations tested by polymerase chain reaction (PCR), a diagnosis of essential thrombocythemia (ET) was made...
March 2022: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/34156653/role-of-2-dimensional-speckle-tracking-echocardiography-in-diagnosis-of-right-ventricular-involvement-in-patients-with-inferior-wall-myocardial-infarction-undergoing-primary-percutaneous-coronary-intervention
#5
JOURNAL ARTICLE
Tarek A N Ahmed, Esraa G Abdel-Rahman, Hatem A Helmy, Hosam Hasan-Ali, Heba M El-Naggar
Diagnosis of right ventricular (RV) infarction in the setting of acute inferior wall myocardial infarction (IWMI) has important prognostic implications. We sought to assess the role of 2-D speckle tracking echocardiography (2-D STE) for the assessment of RV involvement in acute IWMI. We included 100 consecutive patients with a diagnosis of recent IWMI, of which 73 had an RCA culprit lesion, undergoing primary percutaneous coronary intervention (PPCI). Patients (n = 73) were classified into 2 groups based on angiographic evidence of RV involvement (lesions proximal to or involving RV branch versus distal lesions)...
September 2021: International Journal of Cardiovascular Imaging
https://read.qxmd.com/read/33815846/double-vessel-coronary-angioplasty-in-a-patient-with-anomalous-single-coronary-artery-arising-from-the-right-cusp-and-premature-atherosclerotic-coronary-artery-disease-a-case-report-and-review-of-the-literature
#6
Varun Kumar, Shalini Gupta, Krishna Prasad
We report a rare case of a 39-year-old male who presented with acute inferior wall myocardial infarction (IWMI). Coronary angiography revealed an anomalous single coronary artery arising from the right coronary cusp. Premature atherosclerotic coronary artery disease (CAD) with critical stenosis in the mid right coronary artery (RCA), proximal posterior left ventricular (PLV) artery, and distal left circumflex (LCX) artery was detected during angiography. The patient managed successfully by percutaneous coronary interventions (PCI) with drug-eluting stents (DESs) by radial approach...
2021: Case Reports in Cardiology
https://read.qxmd.com/read/33679188/gender-divides-in-the-clinical-profiles-of-patients-with-acute-myocardial-infarction-at-a-tertiary-care-center-in-south-india
#7
JOURNAL ARTICLE
Neethu M George, Lakshmi Ramamoorthy, Santhosh Satheesh, Kumari M Jayapragasam
BACKGROUND: Early identification of myocardial infarction (MI) is a determinant in the provision of appropriate treatment modalities. The focus of the present study is on the identification of gender-based differences in risk factors, clinical manifestations, and coronary angiography findings in patients presenting with MI. MATERIALS AND METHODS: A cross-sectional study was conducted among patients admitted with MI at a tertiary care center in South India during March 2016 to June 2017...
January 2021: Journal of Family & Community Medicine
https://read.qxmd.com/read/33665364/inferior-st-segment-elevation-myocardial-infarction-due-to-a-proximal-wrap-around-left-anterior-descending-coronary-artery-occlusion-a-case-report
#8
JOURNAL ARTICLE
Pramod Theetha Kariyanna, Shamna Mohammed, Ruchi Yadav, Ashkan Tadayoni, Apoorva Jayarangaiah, Isabel M McFarlane
Inferior ST-segment myocardial infarction (STEMI) is often due to acute occlusion of the right coronary artery (RCA) or left circumflex artery (LCx). Anatomically, distal occlusion of a dominant left anterior descending artery (LAD) wrapping around the apex supplying posterior descending artery (PDA) can also lead to inferior wall MI. The occurrence of inferior MI with LAD occlusion is underappreciated. We are presenting a case of proximal LAD occlusion leading to inferior wall MI in the presence of non-occlusive right coronary artery (RCA)...
2021: American Journal of Medical Case Reports
https://read.qxmd.com/read/33274165/a-case-report-of-a-double-catastrophe-true-left-ventricular-aneurysm-and-ventricular-septal-rupture-complicating-acute-myocardial-infarction-and-presenting-as-chronic-heart-failure
#9
Suraj Khanal, Soumitra Ghosh, Anand K Mishra
A combination of left ventricular aneurysm (LVA) and ventricular septal rupture (VSR) in an acute myocardial infarction (AMI) patient presenting as heart failure is extremely rare. Here, we report a rare case of concurrent true inferoposterior LVA and VSR secondary to inferior wall myocardial infarction (IWMI) presenting as chronic heart failure (CHF). To the best of our knowledge, this is the third reported case in the literature. A 61-year-old man, who had an IWMI about one month prior, presented with CHF...
November 2, 2020: Curēus
https://read.qxmd.com/read/33197717/the-time-to-reversal-of-complete-atrioventricular-block-and-its-predictors-in-acute-st-segment-elevation-myocardial-infarction
#10
JOURNAL ARTICLE
Satyavir Yadav, Himanshu Yadav, Sudhanshu Kumar Dwivedi, Nitin Kumar Parashar, Sharad Chandra, Gaurav Chaudhary, Rishi Sethi, Akshyaya Pradhan, Pravesh Vishwakarma, Akhil Sharma, Monika Bhandari, Sivasubramanian Ramakrishnan, Ganeshan Karthikeyan
OBJECTIVE: The purpose of this study was to determine the time to reversal of complete AV block (CAVB) in ST-segment elevation myocardial infarction (STEMI) with various modalities of treatment and to examine the factors associated with early reversal of CAVB. METHODS: We prospectively assessed the STEMI patients complicated by CAVB. The mean time to reversal of CAVB was analyzed and compared according to the treatment received. Multivariate logistic regression analysis was performed to find the predictors of mortality...
October 31, 2020: Journal of Electrocardiology
https://read.qxmd.com/read/32582497/frequency-of-right-ventricular-infarction-in-inferior-wall-myocardial-infarction
#11
JOURNAL ARTICLE
Hassam Ali, Shiza Sarfraz, Muhammad Fawad, Zarafshan Shafique
Background Ischemic heart disease, particularly inferior wall myocardial infarction (IWMI), is a significant issue in cardiac health. It can further add up to the morbidity and mortality when it is associated with right ventricular infarction (RVI). Elevated ST-segment elevations in the right chest lead number, three (V3R), and four (V4R), can be used to diagnose right ventricular infarction (RVI). The odds of RVI can be identified according to age groups, gender, and risk factors, including diabetes, hypertension, and smoking...
May 22, 2020: Curēus
https://read.qxmd.com/read/31955831/comparison-of-incidence-and-outcomes-of-cardiogenic-shock-complicating-posterior-inferior-versus-anterior-st-elevation-myocardial-infarction
#12
JOURNAL ARTICLE
Tanush Gupta, Michael Weinreich, Dhaval Kolte, Sahil Khera, Pedro A Villablanca, Anna E Bortnick, Jose M Wiley, Mark A Menegus, Ajay J Kirtane, Deepak L Bhatt, Mario J Garcia, Azeem Latib, Giora Weisz
Cardiogenic shock (CS) is a catastrophic consequence of ST-elevation myocardial infarction (STEMI). CS has been reported to be associated less often with inferior wall (IWMI) than anterior wall STEMI (AWMI). We queried the National Inpatient Sample databases from January 2010 to September 2015 to identify all patients aged ≥18 years admitted with AWMI or IWMI. Patients with a concomitant diagnosis of CS were then identified. Complex samples multivariable logistic regression models were used to compare the incidence, management, and in-hospital mortality of CS complicating IWMI versus AWMI...
April 1, 2020: American Journal of Cardiology
https://read.qxmd.com/read/31793265/correlation-of-ecg-findings-with-age-sex-co-morbid-conditions-and-angiographic-presentation-among-acute-myocardial-infarction-patients-in-south-india
#13
JOURNAL ARTICLE
Jian Meng Hoh, Rajesh Bhat U, Afzaa Nathvani Rajabali
Background: Proximal LAD and LCx occlusion usually associated with poorer clinical outcome in ACS. Hence, a rapid and efficient tool is needed to identify those conditions and initiate reperfusion at the earliest. We studied ECG features in relation to angiographic findings to identify the culprit artery in AWMI and IWMI. Objective: This study aims to compare and correlate the ECG features with angiographic findings in STEMI. Methodology: In this observational study, 73 AWMI and 59 IWMI patients having their completed ECG and coronary angiography reports were included...
November 2019: Journal of the Association of Physicians of India
https://read.qxmd.com/read/30341846/study-of-rhythm-disturbances-in-acute-myocardial-infarction
#14
JOURNAL ARTICLE
Anjalee Chiwhane, Pradeep
Introduction: Cardiac rhythm disturbances are common presentation in acute coronary syndromes and are cause of frequent serious complications in acute myocardial infarction (AMI). However due to availability of early reperfusion therapy and primary angioplasty, arrhythmias have cause a reduction in mortality. Arrhythmias are key events before, during or after the occurrence of acute MI. There are few clinical studies describing the types of arryhthmias, their correlation with the clinical profile of acute MI and effect on outcomes...
January 2018: Journal of the Association of Physicians of India
https://read.qxmd.com/read/29901579/electrocardiogram-criteria-of-limb-leads-predicting-right-coronary-artery-as-culprit-artery-in-inferior-wall-myocardial-infarction-a-meta-analysis
#15
REVIEW
Hao Liang, Lan Wu, Yingchen Li, Yidi Zeng, Zhixi Hu, Xinchun Li, Xiang Sun, Qiuyan Zhang, Xiaoqing Zhou
BACKGROUND: Prior studies have proposed several electrocardiogram (ECG) criteria in limb leads for identifying the culprit coronary artery (CCA) in patients with acute inferior wall myocardial infarction (IWMI). The aim of our study was to conduct an evidence-based evaluation and test accuracy comparison of these criteria. METHODS: We searched the PubMed, Embase, and Ovid. Eligible studies to assess the diagnostic performance of ECG criteria predicting CCA in IWMI were reviewed for inclusion...
June 2018: Medicine (Baltimore)
https://read.qxmd.com/read/29750254/clinical-significance-of-atrial-kick
#16
JOURNAL ARTICLE
V Namana, S S Gupta, N Sabharwal, G Hollander
No abstract text is available yet for this article.
August 1, 2018: QJM: Monthly Journal of the Association of Physicians
https://read.qxmd.com/read/28993840/impact-of-right-ventricular-diastolic-dysfunction-on-clinical-outcomes-in-inferior-stemi
#17
JOURNAL ARTICLE
B Altıntaş, B Yaylak, H Ede, R Altındağ, E Baysal, Ö Bilge, H Çiftçi, M Ş Adıyaman, M Z Karahan, I Kaya, K Çevik
BACKGROUND: The aim of this study was to investigate the prognostic value of restrictive right ventricular filling pattern (RRVFP) in patients with the first acute inferior wall myocardial infarction (IWMI) complicated by right ventricular myocardial infarction (RVMI) undergoing primary percutaneous coronary intervention (p-PCI). METHOD: A total of 152 patients with acute IWMI complicated by RVMI undergoing p‑PCI were divided into two groups according to the presence of RRVFP...
October 9, 2017: Herz
https://read.qxmd.com/read/28892952/correlation-of-reciprocal-changes-and-qrs-amplitude-in-ecg-to-left-ventricular-dysfunction-wall-motion-score-and-clinical-outcome-in-first-time-st-elevation-myocardial-infarction
#18
JOURNAL ARTICLE
Silpita Katragadda, Murali Alagesan, Shanmugasundaram Rathakrishnan, Deepalakshmi Kaliyaperumal, Anith Kumar Mambatta
INTRODUCTION: Electrocardiogram (ECG) is the simplest tool for diagnosing ST Elevation Myocardial Infarction (STEMI). We can use a12 lead ECG for prognostication purposes also. AIM: The aim of the study was to find out the role of ECG as a prognostic marker in terms of clinical outcome and wall motion abnormality. MATERIALS AND METHODS: It was a prospective study done in PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India, from January 2014 to September 2014...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://read.qxmd.com/read/28400035/percutaneous-closure-of-post-myocardial-infarction-ventricular-septal-rupture-a-single-centre-experience
#19
JOURNAL ARTICLE
Rajendra Kumar Premchand, Ravikanth Garipalli, T N C Padmanabhan, Geetesh Manik
BACKGROUND: Post-infarction ventricular septal rupture (VSR) is a rare but lethal mechanical complication of an acute myocardial infarction (AMI). Survival to 1 month without intervention is 6%. Given high surgical mortality, transcatheter closure has emerged as a potential strategy in selected cases. Indian data on percutaneous device closure of post AMI-VSR is scarce hence we report our single-centre experience with ASD occluder device (Amplatzer and lifetech) for closure of post-AMI VSR...
April 2017: Indian Heart Journal
https://read.qxmd.com/read/27752031/short-term-outcome-of-acute-inferior-wall-myocardial-infarction-with-emphasis-on-conduction-blocks-a-prospective-observational-study-in-indian-population
#20
JOURNAL ARTICLE
Varun Kumar, Santosh Sinha, Prakash Kumar, Mohammed Razi, Chandra Mohan Verma, Ramesh Thakur, Umeshwar Pandey, Rajpal Singh Bhardwaj, Mohammed Ahmad, R K Bansal, Shalini Gupta
OBJECTIVE: The primary aim of the present study was to evaluate the complications, particularly conduction blocks, subsequent morbidity and mortality, and effect of thrombolytic therapy in Indian patients with inferior wall myocardial infarction (IWMI). METHODS: This was a prospective, observational, single-center study conducted at LPS Institute of Cardiology, Kanpur, from December 2011 to May 2014. Patients who presented with typical chest pain and were subsequently diagnosed by standardized diagnostic criteria as having IWMI were enrolled...
March 2017: Anatolian Journal of Cardiology
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