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Research Article Open access CC BY 4.0

Right Ventricular Myocardial Infarction: A Mono-Centric Retrospective Study

Moukhtar Ben Kabbour, Kamel Ghanem, Mohsine Naâim, Mohammed El Jamili, Saloua El Karimi, Mustapha El Hattaoui

Cardiology and Angiology: An International Journal · pp. 308–318 · Published 11 Oct 2023

10.9734/ca/2023/v12i4372

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.

Myocardial infarction acute coronary syndrome right ventricular

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