TO STUDY INCIDENCE AND CLINICAL OUTCOMES OF RVMI IN PATIENTS WITH ACUTE INFERIOR WALL MI , A PROSPECTIVE OBSERVATIONAL STUDY

Background:Recognition of the syndrome of RVMI is important , as it is associated with major complications and in hospital mortality after acute IWMI. RV leads are often not done routinely as there is less awareness about RVMI

Aims And Objective:To study incidence and clinical outcomes of RVMI in patients with acute inferior wall MI using right precordial ECG leads

Materials And Methods:It was a prospective observational study, patients admitted with inferior wall MI  to hospital from october 2019 to september 2020 under went a twelve leads ECG  and additional right precordial leads V3R, V4R, V5R, V6R.

Results:Out of 150 patients of acute IWMI admitted to CCU , 45 patients had RVMI (30%). Mortality was 5 times higher in patients with IWMI and RV extention , Complications like cardiogenic shock , various arrhythmia , AV block, VT were higher in RVMI.

Conclusion:RVMI is very common with inferior wall MI and It can be easily diagnosed by a simple bedside routine 12 lead ECG along with right sided ECG leads . Early diagnosis of RVMI can prevent fatal complications and high in-hospital mortality. Therefore right sided ECG should be taken routinely in all patients of IWMI.