The Importance of Right Precordial ST Segment Elevation in The Early Detection of Acute Right Ventriculer Myocardial Infarction. (Clinical and Hemodynamical Study)

Kadir GÜRKAN, Coşkun PINAR, Tuna TEZEL, ikmet TEZEL, Aydın ÇAĞIL

İstanbul Göğüs, Kalp-Damar Cerrahisi Merkezi, Haydarpaşa - İstanbul

In this study we aimed to present, in 27 cases of acute inferior/ posterior myocardial in farction, the validity of right precordial (V3R-V6R) ST segment elevation in the early diagno sis of acute right ventricular myocardial infarction (RVMI) and its relationship with clinical and hemodynamic signs. In the group of eight patients who had ST segment elevations greater than or equal to 1 mm in V3R-V6R, right ventricular end-diastolic pressure (LVEDP) and right atrial mean pressure (RAPm) had been found to be significantly high (p<0.001, p<0.001) indicating right ventricular dysfunction. Other clinical data were in plight to sup port the formers. In conclusion we decided that detection of right precordial leads in acute transmural inferior/posterior myocardial infarction may give way to the early diagnosis of dominant RVMI.

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