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201087

Evaluation of right ventricular function in patients undergoing coronary intervention and presenting with non-ST-segment elevation myocardial infarction (NSTEMI)

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Cardiology

Abstract

Background: Following an acute myocardial infarction (MI), right ventricular (RV) affection had been linked to increased morbidity and death. In individuals with acute myocardial ischemia, RV dysfunction has been identified as a predictor of death. Aim of work: To evaluate the right ventricular function in patients undergoing coronary intervention and presenting with non-ST-segment elevation myocardial infarction (NSTEMI). Subjects and methods: The study was a case control study that included 44 individuals over the age of 18 who were hospitalized or referred to Zagazig University Hospital and National Heart Institute with manifestations of NSTEMI between 2019 and 2020. Patients were split into two groups based on their RV function: Group I (n = 22 patients) had normal RV function, and Group II (n = 22 patients) had impaired RV function. All patients were subjected to complete history, full clinical examination, ECG, echocardiography to assess RV function, laboratory investigations and PCI then follow up for three months to evaluate improvement in RV function. Results: There was a statistically significant negative correlation between baseline TAPSE and peak Tpn and RVEDD. There was also a statistically high significant positive correlation between baseline TAPSE and RVFAC. In addition, there was a statistically high significant negative correlation between RVFAC and RVEDD with p value ≤0.001. Conclusion: Patients with NSTEMI and poor RV function should be treated by PCI revascularization of the culprit lesion to enhance RV function, and it should be assessed by ECG and 2D echocardiography.

DOI

10.21608/zumj.2021.92230.2323

Keywords

PCI, NSTEMI, CAD

Authors

First Name

Mohy Eldeen

Last Name

Eldeeb

MiddleName

-

Affiliation

Assistant Professor of cardiology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Email

drmoheyeldeeb@gmail.com

City

-

Orcid

-

First Name

Sameh

Last Name

Youssof

MiddleName

Mohamed

Affiliation

Resident of cardiology department, National Heart Institute, Cairo, Egypt.

Email

samehmyossef@gmail.com

City

-

Orcid

-

First Name

Aly

Last Name

Abdelrahman

MiddleName

-

Affiliation

Professor of cardiology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Email

alysaad@hotmail.com

City

-

Orcid

-

First Name

Alaa

Last Name

Salama

MiddleName

-

Affiliation

Lecturer of cardiology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Email

salamaalaa137@gmail.com

City

zagazig

Orcid

0000-0000-4325-4329

Volume

30

Article Issue

3

Related Issue

46681

Issue Date

2024-05-01

Receive Date

2021-08-23

Publish Date

2024-05-01

Page Start

635

Page End

643

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_201087.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=201087

Order

2

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Evaluation of right ventricular function in patients undergoing coronary intervention and presenting with non-ST-segment elevation myocardial infarction (NSTEMI)

Details

Type

Article

Created At

30 Dec 2024