DOI: 10.36347/sjams.2020.v08i11.029

Pages: 2573-2577

Background: Patient with lateral wall changes in inferior wall MI usually ignored most often. Patients with inferolateral MI show very diverse clinical presentations as compared to inferior wall MI without lateral MI ECG changes of inferolateral MI in comparison to inferior wall MI without lateral wall ECG changes. Materials and methods: This study enrolled 405 patients admitted to cardiology emergency with inferior wall MI. Patients divided into three groups on the basis of ECG changes, A) inferolateral B) isolated inferior wall MI MI C) inferior wall MI with RVMI. Patients with RVMI (group C) excluded from the group. Electrocardiographic, echocardiographic, angiographic outcomes compared between group A and B. Results: More than1/3 rd patient with inferior wall MI have associated lateral wall changes. STEMI equivalent changes in anterior leads noted in around 2/3 rd patients. LV dysfunction seen in around 47.5% of the patient of inferolateral wall MI, which is significantly higher in comparison to 9% patients in inferior wall MI .Culprit lesion in inferolateral MI most often found to be left circumflex coronary artery. Multivessel lesion in inferolateral MI in 36.8% patients, which is significantly higher as compared to inferior wall MI without lateral wall ECG changes (i.e.11.4 % patient). Conclusion: Patient with infererolateral MI have grave prognosis due to higher incidence of LV dysfunction, multivessel involvement and mitral regurgitation.Culprit lesion is most often left circumflex artery. So meticulous attention should be given to patients with lateral wall MI changes in inferior wall MI for better treatment strategy.