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Samiullah Khan¹, Naveed Danish², Muhammad Niaz Khan⁴, Muhamad Kashif Iltaf⁵, Sadullah Shah¹ and Raza Mohammad³

ABSTRACT

Objective: To determine the frequency of Right Ventricular Myocardial Infarction (RVMI) in patients with presenting with acute Inferior Wall Myocardial Infarction (IWMI).

Study Design: Cross-sectional study

Place and Duration of Study: This study was conducted at the Department of Cardiology, Coronary Care Unit (CCU) of DHQ Teaching Hospital (DHQ-TH) Nowshera and Qazi Hussain Ahmad Medical Complex (QHMC) Nowshera from Feb, 2017 to Sept, 2017 for a period of 08 months.

Materials and Methods: Patients with acute IWMI were selected for study from CCU under informed written consent. They were interviewed through a pre-designed research proforma.

Two sets of ECGs were performed one each for diagnosis of IWMI and other for RVMI. ECG was done through Fuduka-ME-C110-ECG machine at a standard setting. The ECGs were looked for ST segment elevation in leads II, III, aVF and V3R, V4R, V5R, and V6R for diagnosis of IWMI and RVMI, respectively. Results were analyzed using SPSS 16.

Results: Mean age was 64+8.97. Patients 30-50 years age group was 100 (38.46%) and in 51-70 years age group was 160 (61.53%). There were 141 (54.23%) male and 119 (45.76%) female patients. RVMI was observed in 24.23% (n, 63) patients. RVMI was significantly [p=0.014] more frequent 18.07% (n,47) in age group 31-70 years as compared to 6.15% (n, 16) age group 30-50 years. RVI was insignificantly more frequent in male [37, 14.2%] as compared to female [26, 10%, p=0.410] patients

Conclusion: RVMI is frequently observed in patients presenting with acute inferior wall myocardial infarction in local population.

Key Words: Revascularization, RVMI, IWMI

Citation of article: Khan S, Danish N, Khan MN, Iltaf MK, Shah S, Mohammad R. Frequency of Right Ventricular Myocardial Infarction in Patients with Presenting Acute I