DOI: 10.36347/sjams.2018.v06i02.025

Pages: 587-595

Right ventricular infarction is not uncommon. The presence of RVI is known to increase the incidence of cardiogenic shock, arrhythmias and conduction blocks in case of myocardial infarction. Hence the present study was taken up to find out the incidence, clinical profile and complications of RVI. A prospective study was conducted on 50 patients of IWMI out of 170 AMI proved by ECG standard readings and RPLs taken at the time of admission and repeated at 6 hours, 12 hours, 24 hours and 48 hours. Out of 50 cases of inferior wall MI of 170 AMI cases only 15 developed RVI. The incidence of RVI was 30% in inferior wall MI. Syncope was present in 46.6% of RVI and 5.7% of IWMI without RVI. Bradycardia in 46.6% of RVI and 2.85% of IWMI without RVI. Hypotension was present in 66.6% of RVI and in 11.4% of IWMI without RVI. Ventricular fibrillation was seen in 26.6% of RVI and 2.8% of patients of IWMI without RVI. Complete Heart Block was in 6.6% of RVI and in 5.7% of patients IWMI without RVI. Mortality was 46.6% in RVI and 5.7% in patients IWMI without RVI.