Left ventricular remodeling in patients with right ventricular myocardial infarction
Aim. To study left ventricular (LV) remodeling, interventricular and intraventricular asynchrony in isolated inferior LV myocardial infarction (MI) or combined inferior LV MI with right ventricular (RV) MI.Material and methods. 57 patients with inferior LV MI with or without RV MI (n=57) were includ...
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| Format: | Article |
| Language: | English |
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Столичная издательская компания
2015-12-01
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| Series: | Рациональная фармакотерапия в кардиологии |
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| Online Access: | https://www.rpcardio.online/jour/article/view/438 |
| _version_ | 1826949850344718336 |
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| author | M. T. Beyshenkulov, Z. M. Chazymova A. S. Abylgazieva K. R. Kaliev |
| author_facet | M. T. Beyshenkulov, Z. M. Chazymova A. S. Abylgazieva K. R. Kaliev |
| author_sort | M. T. Beyshenkulov, |
| collection | DOAJ |
| description | Aim. To study left ventricular (LV) remodeling, interventricular and intraventricular asynchrony in isolated inferior LV myocardial infarction (MI) or combined inferior LV MI with right ventricular (RV) MI.Material and methods. 57 patients with inferior LV MI with or without RV MI (n=57) were included in a 6-month prospective study. The patients were divided into 2 groups: Group 1 - patients with inferior LV MI (n=30); Group 2 - patients with inferior LV MI in combination with RV MI (n=27). Electrocardiography and echocardiography were performed in all patients at admission, on days 3, 30 and 180 after MI.Results. Significant signs of diastolic dysfunction (RV end-diastolic area 29.21±2.0 cm2) were found in group 2 on the third day after MI. A significant increase in the LV volume indices and diastolic sphericity index (from 0.54±0.02 to 0.59±0.03 units) and an increase in interventricular asynchrony (from 37.4±4.2 to 44.6±4.2 ms) were found in group 2 in 30 days after MI. Increasing tendency towards intraventricular and interventricular asynchrony, despite the absence of pathological LV remodeling, occurred in group 2 in 6 months after MI.Conclusion. Patients with RV MI have more pronounced maladaptive LV remodeling, intraventricular and interventricular asynchrony and greater LV diastolic dysfunction. |
| first_indexed | 2024-03-08T14:05:13Z |
| format | Article |
| id | doaj.art-a965b4d7c95d443c90b5b6cbcd930613 |
| institution | Directory Open Access Journal |
| issn | 1819-6446 2225-3653 |
| language | English |
| last_indexed | 2025-02-17T22:21:15Z |
| publishDate | 2015-12-01 |
| publisher | Столичная издательская компания |
| record_format | Article |
| series | Рациональная фармакотерапия в кардиологии |
| spelling | doaj.art-a965b4d7c95d443c90b5b6cbcd9306132024-12-04T11:48:03ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532015-12-0111659560010.20996/1819-6446-2015-11-6-595-600438Left ventricular remodeling in patients with right ventricular myocardial infarctionM. T. Beyshenkulov,0Z. M. Chazymova1A. S. Abylgazieva2K. R. Kaliev3National Center of Cardiology and Therapy named after Academician M.M. Mirrahimov Togoloka Moldo ul. 3, Bishkek, 720040 KyrgyzstanNational Center of Cardiology and Therapy named after Academician M.M. Mirrahimov Togoloka Moldo ul. 3, Bishkek, 720040 KyrgyzstanNational Center of Cardiology and Therapy named after Academician M.M. Mirrahimov Togoloka Moldo ul. 3, Bishkek, 720040 KyrgyzstanNational Center of Cardiology and Therapy named after Academician M.M. Mirrahimov Togoloka Moldo ul. 3, Bishkek, 720040 KyrgyzstanAim. To study left ventricular (LV) remodeling, interventricular and intraventricular asynchrony in isolated inferior LV myocardial infarction (MI) or combined inferior LV MI with right ventricular (RV) MI.Material and methods. 57 patients with inferior LV MI with or without RV MI (n=57) were included in a 6-month prospective study. The patients were divided into 2 groups: Group 1 - patients with inferior LV MI (n=30); Group 2 - patients with inferior LV MI in combination with RV MI (n=27). Electrocardiography and echocardiography were performed in all patients at admission, on days 3, 30 and 180 after MI.Results. Significant signs of diastolic dysfunction (RV end-diastolic area 29.21±2.0 cm2) were found in group 2 on the third day after MI. A significant increase in the LV volume indices and diastolic sphericity index (from 0.54±0.02 to 0.59±0.03 units) and an increase in interventricular asynchrony (from 37.4±4.2 to 44.6±4.2 ms) were found in group 2 in 30 days after MI. Increasing tendency towards intraventricular and interventricular asynchrony, despite the absence of pathological LV remodeling, occurred in group 2 in 6 months after MI.Conclusion. Patients with RV MI have more pronounced maladaptive LV remodeling, intraventricular and interventricular asynchrony and greater LV diastolic dysfunction.https://www.rpcardio.online/jour/article/view/438right ventricular myocardial infarctionechocardiographyleft ventricular remodelingdiastolic functioninterventricular and intraventricular asynchrony |
| spellingShingle | M. T. Beyshenkulov, Z. M. Chazymova A. S. Abylgazieva K. R. Kaliev Left ventricular remodeling in patients with right ventricular myocardial infarction Рациональная фармакотерапия в кардиологии right ventricular myocardial infarction echocardiography left ventricular remodeling diastolic function interventricular and intraventricular asynchrony |
| title | Left ventricular remodeling in patients with right ventricular myocardial infarction |
| title_full | Left ventricular remodeling in patients with right ventricular myocardial infarction |
| title_fullStr | Left ventricular remodeling in patients with right ventricular myocardial infarction |
| title_full_unstemmed | Left ventricular remodeling in patients with right ventricular myocardial infarction |
| title_short | Left ventricular remodeling in patients with right ventricular myocardial infarction |
| title_sort | left ventricular remodeling in patients with right ventricular myocardial infarction |
| topic | right ventricular myocardial infarction echocardiography left ventricular remodeling diastolic function interventricular and intraventricular asynchrony |
| url | https://www.rpcardio.online/jour/article/view/438 |
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