@Article{, title={Right Ventricular Infarction in Patients with Acute Inferior Myocardial Infarction}, author={Ahmed H. Al-Myali*}, journal={Karbala Journal of Medicine مجلة كربلاء الطبية}, volume={1 no.2}, number={1}, pages={145-149}, year={2007}, abstract={AbstractBackground: Right ventricular infarction (RVI) complicating inferior wall myocardial infarction(IWMI) is common. Electrocardiogram (ECG) through right pericordial leads (V4R) is a useful &convenient toll of diagnosing RVI.Objectives: To study the frequency of occurrence of RVI in patients with IWMI using the standardECG through right precordial lead (V4R), to define the risk factors for its occurrence and to identifythe associated physical signs & other ECG abnormalities.Patients & methods: 90 patients admitted to the coronary care unit (CCU) were studied, we assessedthe prevalence of (RVI) using the right precordial lead (V4R), risk factors for its occurrence & otherimportant physical signs & ECG finding.Results: RVI was diagnosed in (28.9%) of patients with IWMI, defined by the presence of o.1 mmST-segment elevation in V4R. Increasing age, diabetes mellitus (DM) & smoking were significantlyassociated risk factors. Atrioventricular block (AV block) occurred in 23% patients with RVIcompared to 10.9% in patients with isolated IWMI. The classical triad of hypotension raised jugularvenous pressure & absence of rales on chest auscultation occurred in 7.9% of patients with RVIcompared to none of patients with isolated IWMI. Hypotension following the administration ofmorphine & nitroglycerin were found in 66.6% of patients with RVI compared to non of patients withisolated IWMI.Conclusion: Standard surface ECG by using V4R could aid clinical recognition of concomitant RVI inpatients with IWMI. Hypotension following the administration of anti-ischemic medications &atrioventricular block (AV block) were more common in patients with RVI. Increasing age, male sexdiabetes mellitus & previous history of ischemic heart disease were risk factors for the occurrence of

} }