A Study on Clinical Manifestations of Right Ventricular Myocardial Infarction

CONCLUSION: 1. The incidence of Right Ventricular Myocardial Infarction is fairly common (38%) and its more common in males than females and the difference being less as the age advances. 2. In majority of patients retrosternal chest pain and anginal equivalents like syncope had its onset between 6 A.M. and 12 noon. 3. Smoking and Hypertension were the most prevalent risk factors. 4. All cases of Inferior Wall Myocardial Infarction should have Right sided chest leads recorded during ECG examination as more the ST elevation more the severity of Right Ventricular Myocardial Infarction and its complications and mortality rate. 5. If diagnosis of Right Ventricular Myocardial Infarction is correctly made earlier and thrombolysed the prognosis is usually good even in patients with complications. 6. Mortality is higher in patients with Inferior wall Myocardial Infarction with Right Ventricular Myocardial Infarction is because of higher incidence of conduction disturbances and pump failure. SUMMARY: Right Ventricular Myocardial Infarction is usually associated with Inferior wall Myocardial Infarction, which carries higher mortality and morbidity when it is associated with Inferior wall Myocardial Infarction. Coneventional ECG with 12 leads will miss Right Ventricular Myocardial Infarction. So 18 lead ECG is essential to pick up Right Ventricular Myocardial Infarction and Posterior wall Myocardial Infarction early. Early identification and immediate thrombolysis will improve the clinical course and prognosis of Right Ventricular Myocardial Infarction and also reduces the mortality and morbidity many fold.