Right Ventricular Myocardial Infarction: A Mono-Centric Retrospective Study
Moukhtar Ben Kabbour *
Department of Cardiology, Mohammed VI University Hospital, Marrakech, Morocco.
Kamel Ghanem
Department of Cardiology, Mohammed VI University Hospital, Marrakech, Morocco.
Mohsine Naâim
Department of Cardiology, Mohammed VI University Hospital, Marrakech, Morocco.
Mohammed El Jamili
Department of Cardiology, Mohammed VI University Hospital, Marrakech, Morocco.
Saloua El Karimi
Department of Cardiology, Mohammed VI University Hospital, Marrakech, Morocco.
Mustapha El Hattaoui
Department of Cardiology, Mohammed VI University Hospital, Marrakech, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Coronary heart disease is one of the world's leading causes of morbidity and mortality. Much is known about left ventricular myocardial infarction. It was not until much later (1974) that right ventricular myocardial infarction was studied as a distinct entity [1]. Isolated VD MI is rare [2,3,4]. It is often associated with infero-posterior MI (in a third of patients) [2,5], with higher morbidity and in-hospital mortality due to hemodynamic and rhythmic complications [4]. The culprit lesion is often occlusion of the proximal right coronary artery [2,4,6,7]. However, the VD is relatively resistant to infarction and recovers even after prolonged occlusion [8]. In this work, we will study the epidemiological, clinical, electrical, echocardiographic and angiographic aspects of MDI with extension to the VD, as well as its complications and therapeutic modalities.
Keywords: Myocardial infarction, acute coronary syndrome, right ventricular