Munir Siddiquei, Shahadat Hussain, Shafique Ahmed.
Frequency and outcome of right ventricular infarct; patients with inferior wall myocardial infarction during hospital stay.
Professional Med J Jan ;23(10):1288-92.

Objectives: To determine the frequency and outcome of right ventricular infarct in patients with inferior wall myocardial infarction during hospital stay. Study Design: Descriptive case series. Place and duration of study: The study was carried out in cardiology department of Bahawal Victoria Hospital Bahawalpur from 13th January 2013 to 12th July 2014. Methodology: A total of 145 patients of inferior wall myocardial infarction were enrolled. Right sided ECG was recorded to detect RV infarction in V4R lead. Patients with RV infarction were followed for high degree AV block and in hospital mortality till discharge. Results: A total of 145 patients were included in the study. Mean age of patients was 53.54 11.3 years. Out of 145 patients, 84 (57.93%) were male and 61 (42.07%) were female. Out of 145 patients, 51(35.17%) patients had right ventricular infarct. In 51 patients with right ventricular infarct, 5 (9.8%) patients expired while 20 (39.2%) had 3rd degree AV blocks. Conclusion: Patients with inferior myocardial infarction who also have right ventricular myocardial involvement are at increased risk of death and 3rd degree (complete) AV block.

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