EVALUATION OF RIGHT VENTRICLUARSTRAIN USING SPECKLETRACKING ECHOCARDIOGRAPHY IN INFERIOR STEMI PATIENTSUNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of cardiology and angiology, Faculty of Medicine, Alexandria University

2 Department of Cardiology and Angiology, Faculty of Medicine- Alexandria University

3 Department of Cardiology and Angiology, Faculty of Medicine, University of Alexandria

Abstract

Right ventricle (RV) involvement in the setting of inferior MI increases the in hospital morbidity and mortality .Almost, half of RVMI patients have poor outcomes secondary to electrical or hemodynamic instability.
Since the right ventricle is so complicated, non-invasive testing may be challenging, Two-dimensional transthoracic echocardiography can show RV dilation, as well as depressed RV systolic function and regional wall motion abnormalities associated with RVMI.
More recently, the assessment of RV free wall longitudinal strain using speckle tracking images was found to be a useful tool for RV involvement.
Three-dimensional echocardiography is a promising alternative modality for the volumetric assessment of RV.
Aim:
 The aim of this study is to assess subclinical RV dysfunction in patientspresenting with inferior STEMI with preserved RV systolic function by conventional 2D transthoracic echocardiography.
 Determine the prognostic value of RV strain using 2D speckle tracking echocardiography in patients presenting with inferior STEMI undergoing primary PCI.

Keywords