The significance of right-sided chest leads in exercise testing for the detection of right ventricular dysfunction post myocardial infarction of the inferior wall

Michaelides, Andreas; Tousoulis, Dimitris; Liakos, C.; Aggeli, Konstantina; Antoniades, Charalambos; Vyssoulis, Gregory P.; Raftopoulos, Leonidas; Soulis, Dimitrios; Toutouzas, Konstantinos; Stefanadis, Christodoulos

doi:10.1016/j.ijcard.2009.07.005

Cited by 2 publications

(2 citation statements)

References 24 publications

(24 reference statements)

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“…Recovery is thought to be due the favourable supply–demand characteristics of the RV and is, predictably, less pronounced in the presence of RV hypertrophy 29 30. The employment of right sided chest leads during stress testing may, however, reveal latent post-infarction RV ischaemia 137 138…”

Section: Outcome Of Rvmimentioning

confidence: 99%

Right ventricular myocardial infarction: pathophysiology, diagnosis, and management

Kakouros

Cokkinos

2010

Postgraduate Medical Journal

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Right ventricular (RV) ischaemia complicates up to 50% of inferior myocardial infarctions (MIs), though isolated RV myocardial infarction (RVMI) is extremely rare. Although the RV shows good long term recovery, in the short term RV involvement portends a worse prognosis to uncomplicated inferior MI, with haemodynamic and electrophysiologic complications increasing in-hospital morbidity and mortality. Acute RV shock has an equally high mortality to left ventricular (LV) shock. Identification of RV involvement, particularly in the setting of hypotension, can help anticipate and prevent complications and has important management implications which are distinct from the management of patients presenting with LV infarction. Reperfusion therapy, particularly by primary percutaneous coronary intervention, hastens and enhances RV functional recovery that occurs to near normality in most patients. The diagnostic methods for RVMI are discussed, including clinical, electrocardiographic, and various imaging modalities as well as the RV pathophysiology that underpins the specifics of RVMI management.

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Section: Outcome Of Rvmimentioning

confidence: 99%

Right ventricular myocardial infarction: pathophysiology, diagnosis, and management

Kakouros

Cokkinos

2010

Postgraduate Medical Journal

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“…Incorporation of V3R-V5R leads also improves positive prognostic value, negative prognostic value and accuracy of exercise treadmill test with no apparent decrease in specificity. Therefore, with such high negative prognostic value (87%), a negative 15 leads (standard 12 leads and 3 right-sided chest leads) exercise testing practically excludes severe RV dysfunction when performed at the late after discharge period post MI of the inferior wall [25].…”

Section: 222mentioning

confidence: 99%

The impact of novel exercise criteria and indices for the diagnostic and prognostic ability of exercise testing

Michaelides

Tousoulis

Raftopoulos

et al. 2010

International Journal of Cardiology

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The significance of right-sided chest leads in exercise testing for the detection of right ventricular dysfunction post myocardial infarction of the inferior wall

Cited by 2 publications

References 24 publications

Right ventricular myocardial infarction: pathophysiology, diagnosis, and management

Right ventricular myocardial infarction: pathophysiology, diagnosis, and management

The impact of novel exercise criteria and indices for the diagnostic and prognostic ability of exercise testing

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