In hospital outcome of acute inferior wall Myocardial Infarction with or without right ventricular infarction

ABSTRACT

Patients of acute inferior wall MI with concomitant right ventricular infarction is considered as high risk patients because of associated high morbidity and mortality. Total of 50 patients were enrolled for seven days of hospital stay. They were divided into two groups; one with only acute inferior wall MI and the other with acute inferior wall MI associated right ventricular involvemen. The fatality rate was 33.3% with right ventricle involvement compared with 2.6% without right ventricle involvement. [p=0.003].The major cause of death was cardiogenic shock. Complications were as follow; cardiogenic shock [p=0.012], Tricuspid regurgitation [p=0.04], AV Block [p=0.04], tachyarrhythmia [p=0.077] and VSD in both groups. The conclusion was that right ventricle involvement was an independent predictor of prognosis in patients with acute inferior wall myocardial infarction