Right Ventricular Myocardial Infarction: A Mono-Centric Retrospective Study
Moukhtar Ben Kabbour *
Department of Cardiology, Mohammed VI University Hospital, Marrakech, Morocco.
Kamel Ghanem
Department of Cardiology, Mohammed VI University Hospital, Marrakech, Morocco.
Mohsine Naâim
Department of Cardiology, Mohammed VI University Hospital, Marrakech, Morocco.
Mohammed El Jamili
Department of Cardiology, Mohammed VI University Hospital, Marrakech, Morocco.
Saloua El Karimi
Department of Cardiology, Mohammed VI University Hospital, Marrakech, Morocco.
Mustapha El Hattaoui
Department of Cardiology, Mohammed VI University Hospital, Marrakech, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Coronary heart disease is one of the world's leading causes of morbidity and mortality. Much is known about left ventricular myocardial infarction. It was not until much later (1974) that right ventricular myocardial infarction was studied as a distinct entity [1]. Isolated VD MI is rare [2,3,4]. It is often associated with infero-posterior MI (in a third of patients) [2,5], with higher morbidity and in-hospital mortality due to hemodynamic and rhythmic complications [4]. The culprit lesion is often occlusion of the proximal right coronary artery [2,4,6,7]. However, the VD is relatively resistant to infarction and recovers even after prolonged occlusion [8]. In this work, we will study the epidemiological, clinical, electrical, echocardiographic and angiographic aspects of MDI with extension to the VD, as well as its complications and therapeutic modalities.
Keywords: Myocardial infarction, acute coronary syndrome, right ventricular
How to Cite
References
Chhapra DA, Mahajan SK, Thorat ST. A study of the clinical profile of right ventricular infarction in context to inferior wall myocardial infarction in a tertiary care centre. Journal of Cardiovascular Disease Research. 2013;4(3):170-6.
Namana V, Balasubramanian R, Hollander G. A 71-Year-Old Man With Complicated Myocardial Infarction. JAMA Cardiol. 2016;1(6):735-6. DOI: 10.1001/jamacardio.2016.1263
Van der Bolt CL, Vermeersch PH, Plokker HW. Isolated acute occlusion of a large right ventricular branch of the right coronary artery following coronary balloon angioplasty. Eur Heart J. 1996;17(2):247-250.
Carroll R, Sharma N, Butt A, Hussain KM. Unusual electrocardiographic presentation of an isolated right ventricularmyocardial infarction secondary to thrombotic occlusion of a non- dominant right coronary artery. Angiology. 2003;54(1):119-124.
Andersen HR, Falk E, Nielsen D. Right ventricular infarction: frequency, size and topography in coronary heart disease: A prospective study comprising 107 consecutive autopsies from a coronary care unit. J Am Coll Cardiol. 1987;10:1223.
Geft IL, Shah PK, Rodriguez L, et al. ST elevations in leads V1 to V5 may be caused by right coronary artery occlusion and acute right ventricular infarction. Am J Cardiol.
1984;53(8):991-6.
Ondrus T, Kanovsky J, Novotny T, Andrsova I, Spinar J, Kala P. Right ventricular myocardial infarction: From pathophysiology to prognosis. Experimental & Clinical Cardiology 2013; 18(1):27-30.
Goldstein JA. Pathophysiology and management of right heart ischemia. J Am Coll Cardiol 2002;40(5):841–53.
L. Cassagnes ,B. Magnin, L. Boyerl Anatomie des cavités cardiaques, Journal d'imagerie diagnostique et interventionnelle. 2018;1:360–362
Javier Sanz, Damián Sánchez-Quintana,Eduardo Bossone,Harm J. Bogaard, Robert Naeije, Anatomy, Function, and Dysfunction of the Right Ventricle. Journal of the American Col Le Ge of Card Iology. 2019;73(12).,
Loukianos S. Rallidis, MD, FESC, Georgios Makavos, MD, Petros Nihoyannopoulos, MD, FRCP, FESC, FACC, Athens, Greece; London, United Kingdom Right Ventricular Involvement in Coronary Artery Disease: Role of Echocardiography for Diagnosis and Prognosis. J Am Soc Echocardiogr. 2014; 27:223-9.
Isner JM, Roberts WC. Right ventricular infarction complicating left ventricular infarction secondary to coronary heart disease. Am J Cardiol 1978:42:885-894.
Forman MB, Wilson BH, Sheller JR, Kopelman HA, Vaughn WK, Virmani R, et al. Right ventricular hypertrophy is an important determinant of right ventricular infarction complicating acute inferior left ventricular infarction. J Am Coll Cardiol. 1987;10:1180-7.
Kinch JW, Ryan TJ. Right ventricular infarction. N Engl J Med. 1994;330:1211-7.
Haddad F, Hunt SA, Rosenthal DN, MurphyDJ. Right ventricular function in cardiovascular disease, part I: anatomy, physiology, aging, and functional assessment of the right ventricle. Circulation. 2008;117:1436-48
Goldstein JA, Vlahnakes GJ, Verrier ED et al. «The role of right ventricular systolic dysfonction and elevated intrapericardial pressure in the genesis of low output in experimental right ventricular infarction». Circulation. 1982;65:513.
Tani M. Roles of the right ventricular free wall and ventricular septum in right ventricular performance and influence of the parietal pericardium during right ventricular failure in dogs. Am J Cardiol. 1983;52:196–202.
Goto Y, Yamamoto J, Saito M, Haze K, Sumiyoshi T, Fukami K, Hiramori K: Effects of right ventricular ischemia on left ventricular geometry and the end-diastolic pressure–volume relationship in the dog. Circulation. 1985;72:1104–14.
Ravn H, White P, Moeldrup U, Oldershaw P, Redington A: Acute right ventricular dilatation in response to ischemia significantly impairs left ventricular systolic performance. Circulation. 1999;100:761–7.
Cushing EH, Feil HS, Stanton EJ, et al. Infarction of the cardiac auricles (atria): clinical, pathological, and experimental studies. Br Heart J. 1942;4:17–34.
Lasar EJ, Goldberger JH, Peled H, et al. Atrial infarction: diagnosis and management. Am Heart J. 1988;6:1058–63.
Haji AS, Movahed A. right ventricular infarction—diagnosis and treatment Clin. Cardiol. 2000;23(7):473-82.
Turkoglu S, Erden M, Ozdemir M. Isolated right ventricular infarction due to occlusion of the right ventricular branch in the absence of percutaneous coronary intervention. Can J Cardiol. 2008;24:793-794
Velam Vanajakshamma, Kancherla Vyshnavi, Kasala Latheef, Rayi Ramesh, Kodem DamodaraRao. Right Ventricular Infarction in Inferior Wall Myocardial Infarction. Indian J Cardiovasc Dis Women-WINCARS. 2017;2:29–34.
Khan S, Kundi A, Sharieff S. Prevalence of right ventricular myocardial infarction in patients with acute inferior wall myocardial infarction . National Institute of Cardiovascular Diseases, Karachi, Pakistan. 2004 Blackwell Publishing Ltd Int J Clin Pract. 2004;58(4):354–357.
Erice durand « IDM, situation particulére : extension VD- thrombus intra cardiaque-CIV». 24eme congré du CNCH 22.11.2018
Arif Albulushi, Andreas Giannopoulos, Nikolaos Kafkas, Stylianos Dragasis, Gregory Pavlides & Yiannis S. Chatzizisis: Acute right ventricular myocardial infarction, Expert Review of Cardiovascular Therapy; 2018.
Namana Vinod, Gupta Sushilkumar Satish, Abbasi Anna A, Raheja Hitesh, Shani Jacob, Hollander Gerald, Right Ventricular Infarction, Cardiovascular Revascularization Medicine; 2017.
Taku Inohara, Shun Kohsaka , Keiichi Fukuda and Venu Menon . The challenges in the management of right ventricular infarction . European Heart Journal: Acute Cardiovascular Care. 2013 2:226 originally published online 21 May.
Dell'Italia LJ, Starling MR, O'Rourke RA. Physical examination for exclusion of hemodynamically important right ventricular infarction. Ann Intern Med. 1983;99:608-611
Cintron GB, Hernandez E, Linares E, Aranda JM. Bedside recognition, incidence and clinical course of right ventricular infarction. Am J Cardiol. 1981;47:224-227
Khan S, Kundi A, S. Sharieff « Prevalence of right ventricular myocardial infarction in patients with acute inferior wall myocardial infarction » National Institute of Cardiovascular Diseases, Karachi, Pakistan . 2004 Blackwell Publishing Ltd Int J Clin Pract. April 2004;58(4):354– 357.
- Giannitsis E, Potratz J, Schmuecker G et al. «Impact of right ventricular infarction on in-hospital patency after early thrombolysis with an accelerated dose regimen of 100 mg t- PA». American Heart Association. 69th Scientific sessions. New Orleans, November 10-13, 1996.
Jeremiah L. Jeffers; Lance J. Parks . « Right ventricular myocardial infarction» . Treasure Island (FL): StatPearls Publishing; 2020 janv.
Wang JJ, Pahlm O, Warren JW, Sapp JL, Horáček BM. Criteria for ECG detection of acute myocardial ischemia: Sensitivity versus specificity. J Electrocardiol. 2018; 51(6):S12- S17.
Jia X, Heiberg E, Sejersten Ripa M, Engblom H, Carlsson M, Halvorsen S, Arheden H, Atar D, Clemmensen P, Birnbaum Y. Cardiac magnetic resonance evaluation of the extent of myocardial injury in patients with inferior ST elevation myocardial infarction and concomitant ST depression in leads V1-V3: analysis from the MITOCARE Study.Cardiology. 2018; 140(3):178-185.
Somers MP, Brady WJ, Bateman DC, Mattu A, Perron AD. Additional electrocardiographic leads in the ED chest pain patient: right ventricular and posterior leads. Am J Emerg Med. 2003;21(7):563-573.
Russi CS, Myers LA, Kolb LJ, Steever K, Nestler DM, Bjerke MC, White RD, Ting HH. Prehospital diagnosis of ST-segment elevation myocardial infarction using an “all- posterior” 12-lead electrocardiogram. Prehosp Emerg Care. 2011;15(3):410- 413.
Carley SD. Beyond the 12 lead: Review of the use of additional leads for the early electrocardiographic diagnosis of acute myocardial infarction. Emerg Med (Fremantle). 2003;15(2):143- 154.
Manvi R Nagam, MBBS; David R Vinson, MD; Joel T Levis, MD, PhD, Facep, Faaem « ECG Diagnosis: Right Ventricular Myocardial Infarction ». The Permanente Journal/Perm J 2017;21:16-105
Somers MP, Brady WJ, Bateman DC, Mattu A, Perron AD. Additional electrocardiographic leads in the ED chest pain patient: right ventricular and posterior leads. Am J Emerg Med 2003 Nov; 21(7):563-73. DOI: http://dx.doi.org/10.1016/j. ajem.2003.08.008.
Geft IL, Schamroth I. «ST elevation in leads V1 to V5 may be caused by right coronary artery occlusion, and acute right ventricular infarction». Am J Cardio. 1984;53:421-427.
Grollier G, Scanu P, Gofard M et al. «Sus décalage du segment ST dans les dérivations précordiales antérieures et infarctus du ventricule droit». Arch Mal Coeur. 1992;85:67-75.
Zehender M, Kasper W, Kauder E, Schonthaler M, Geibel A, Olschewski M, Just H: Right ventricular infarction as an independent predictor of prognosis after acute myocardial infarction. N Engl J Med. 1993;328:981–8.
Rodrigues EA, Dewhurst NG, Smart LM, Hannan WJ, Muir AL: Diagnosis and prognosis of right ventricular infarction. Br Heart J 1986;56:19–26.
Anderson HR, Nielson D, Lung O, Falk E: Prognostic significance of right ventricular infarction diagnosed by ST elevation in right chest leads V3R to V7R. Int J Cardiol 1988;23:349–56.
Berger PB, Ryan TJ: Inferior myocardial infarction high-risk subgroups. Circulation 1990;81:401–11.
Wellens HJ: Right ventricular infarction. N Engl J Med 1993;328:1036–38.
Andersen HR, Nielsen D, Lund O, Falk E. Prognostic significance of right ventricular infarction diagnosed by ST elevation in right chest leads V3R to V7R. Int J Cardiol 1989 Jun;23(3):349-56. DOI: http://dx.doi. org/10.1016/0167-5273(89)90195-2.
Shiraki H, Yokozuka H, Negishi K, et al. Acute impact of right ventricular infarction on early hemodynamic course after inferior myocardial infarction. Circ J 2010 Jan;74(1):148-55. DOI: http://dx.doi.org/10.1253/circj. cj-09-0405.
Haddad F, Hunt SA, Rosenthal DN, MurphyDJ. Right ventricular function in cardiovascular disease, part I: anatomy, physiology, aging, and functional assessment of the right ventricle. Circulation 2008;117:1436-48.
Ho SY, Nihoyannopoulos P. Anatomy, echocardiography, and normal right ventricular dimensions. Heart 2006; 92(suppl):2-13.
Dell’Italia LJ. The right ventricle: anatomy, physiology, and clinical importance. Curr Probl Cardiol 1991;16:653-720.
Shah AR, Grodman R, Salazar MF, Rehman NU, Coppola J, Braff R. Assessment of acute right ventricular dysfunction induced by right coronary artery occlusion using echocardiographic atrioventricular plane displacement. Echocardiography 2000;17:513-9.
Jugdutt BI, Sussex BA, Sivaram CA, Rossall RE. Right ventricular infarction: two- dimensional echocardiographic evaluation. Am Heart J 1984; 107:505-18.
Lebeau R, Di Lorenzo M, Sauve C. Two-dimensional echocardiography estimation of right ventricular ejection fraction by wall motion score index. Can J Cardiol 2004;20:169-76.
Vargas-Barron J, Espinola-Zavaleta N, Romero-Cardenas A, Simon-Ruiz S, Keirns C, Pe~na-Duque M, et al. Clinical echocardiographic correlation of myocardial infarction with extension to right chambers. Echocardiography 1998;15: 171-80.
Anavekar NS, GersonD, Skali H, Kwong RY, Yucel EK, Solomon SD. Twodimensional assessment of right ventricular function: an echocardiographic- MRI correlative study. Echocardiography 2007;24:452-6.
Goldstein JA. Pathophysiology and management of right heart ischemia. J Am Coll Cardiol 2002;40:841-53.
Rambihar S, Dokainish H. Right ventricular involvement in patients with coronary artery disease. Curr Opin Cardiol 2010;25:456-63
Alam M,Wardell J, Andersson E, Samad BA, Nordlander R. Right ventricular function in patients with first inferior myocardial infarction: assessment assessment by tricuspid annular motion and tricuspid annular velocity. Am Heart J 2000;139:710-5.
Ozdemir K, Altunkeser B, Icli A, Ozdil H, G€ok H. New parameters in identification of right ventricular myocardial infarction and proximal right coronary artery lesion. Chest 2003;124:219-26.
Leibungdut G, Rohner A, Grize L, Bernheim A, Kessel-Schaefer A, Bremerich J, et al. Dynamic assessment of right ventricular volumes and function by real-time three-dimensional echocardiography: A comparison study with magnetic resonance imaging in 100 adult patients. J Am Soc Echocardiogr 2010;23:116-26.