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Comparison of right ventricular functions according to infarct localization using advanced echocardiographic methods in myocardial infarction with ST elevation

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Author(s): Mehmet Ata Akıl | Faruk Ertaş | Hasan Kaya | Mehmet Zihni Bilik | Mustafa Oylumlu | Abdulkadir Yıldız | Kenan İltumur | Mehmet Sıddık Ülgen

Journal: Dicle Medical Journal
ISSN 1300-2945

Volume: 39;
Issue: 4;
Start page: 561;
Date: 2012;
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Keywords: Acute myocardial infarction | right ventricle | echocardiography | TAPSE | MPI

ABSTRACT
Objectives: In this study, we aimed to compare the effectsof infarct localization in patients with ST ElevatedMyocardial Infarction (STEMI) on the right ventricular(RV) functions by using advanced echocardiographicmethods.Materials and methods: A total of 89 patients withSTEMI were included into the study and patients weredivided to three groups as anterior, isolated-inferior andinferior+RV MI groups. In addition to standard echocardiographicmesurements, RV tissue doppler, RV EjectionFraction (RVEF), Myocardial performance index (MPI)and TAPSE measurements of all patients were performedbetween 24-72 hours after the event.Results: Compared to groups, RV functions in inferior MIwith RV involvement group were deteriorated. Tricuspidannular plane systolic excursion (TAPSE) value for theinferior MI with RV involvement (19±1mm) group werelower than those for Inferior MI group without RV involvement(23±1mm) and anterior MI (23±1mm) (p

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