The association of right ventricular dysfunction with in-hospital and 1-year outcomes in anterior myocardial infarction

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dc.contributor.authorKeskin, Muhammed
dc.contributor.authorUzun, Ahmet Okan
dc.contributor.authorHayıroğlu, Mert İlker
dc.contributor.authorKaya, Adnan
dc.contributor.authorÇınar, Tufan
dc.contributor.authorKozan, Ömer
dc.date.accessioned2020-04-30T23:32:40Z
dc.date.available2020-04-30T23:32:40Z
dc.date.issued2019
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionKeskin, Muhammed/0000-0002-4938-0097; Cinar, Tufan/0000-0001-8188-5020en_US
dc.descriptionWOS: 000458270500009en_US
dc.descriptionPubMed: 30109454en_US
dc.description.abstractIn anterior ST-segment elevation myocardial infarction (STEMI), attention paid mainly to the left ventricle. The predictive significance of right ventricular (RV) dysfunction in patients with anterior STEMI has been frequently neglected. In this study, we evaluated the prognostic effect of RV dysfunction on in-hospital and long-term outcomes in patients with first anterior STEMI. A total of 350 patients without known coronary artery disease with first anterior STEMI and treated with primary percutaneous coronary intervention were prospectively enrolled in this study. In-hospital and long-term outcomes were compared between two groups of with or without RV dysfunction. In-hospital mortality was significantly higher in the RV dysfunction group (26.7% vs. 1.6%, P<0.001). The RV dysfunction group also had a higher incidence of cardiogenic shock, recurrent myocardial infarction, target lesion revascularization and stent thrombosis. The 1-year overall survival in patients with and without RV dysfunction was 62.2% and 95.0% respectively. After multivariable analysis, RV dysfunction remained as an independent predictor for in-hospital and long-term mortality. RV dysfunction is an independent predictor of cardiogenic shock, recurrent myocardial infarction, and, in-hospital and long-term mortality in anterior STEMI. Therefore, attention should be paid to the function of right ventricle as in the left ventricle after anterior STEMI.en_US
dc.identifier.doi10.1007/s10554-018-1438-6en_US
dc.identifier.endpage85en_US
dc.identifier.issn1569-5794
dc.identifier.issn1573-0743
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage77en_US
dc.identifier.urihttps://doi.org/10.1007/s10554-018-1438-6
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4786
dc.identifier.volume35en_US
dc.identifier.wosWOS:000458270500009en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofInternational Journal Of Cardiovascular Imagingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMyocardial infarctionen_US
dc.subjectRight ventricleen_US
dc.subjectEchocardiographyen_US
dc.subjectMortalityen_US
dc.titleThe association of right ventricular dysfunction with in-hospital and 1-year outcomes in anterior myocardial infarctionen_US
dc.typeArticleen_US

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