A Study of response of specific therapy in patients with right ventricular infarction at tertiary health care centre

 

Dilip Pandurang Patil

 

Assistant Professor, Department of Medicine, Krishna institute of Medical sciences " Deemed To Be University" Karad

Dist_ Satara-415539, Maharashtra, INDIA.

Email: patilhospitalkarad@gmail.com

 

Abstract              Background: Right ventricular infarction as an extension of inferior left ventricular infarc tion is now recognized with increasing frequency Aims and Objectives: To study response of specific therapy in patients with right ventricular infarction at tertiary health care centre. Methodology: This cross-sectional study was carried out at public charitable trust attached too medical college between January 1994 to December 1994 in the 55 patients of acute inferior wall myocardial infarction admitted to hospital. Group A patients constitute- Inferior wall infarction with right ventricular infarction. Group B- Inferior wall infarction alone. The statistical analysis was done by Chi –square test and Z-test ( Standard error of difference between two proportions ) by SPSS 18 version software. Result: In our study we have seen that The clinical course in Group A was significantly poor as compared to Group B as having more deaths and less uncomplicated patients ( χ² =7.45,df=2,p<0.05) The complications except Bundle Branch B. (Z=1.32,p>0.5) were significantly higher in Group A as compared to Group B e.g. RVF (Z=4.56*, p<.05), LVF (Z=6.73, p<.05*), Hypotension (Z=5.43*, p<.05), A.V. Block (Z=4.52*, p<.05), VPB(Ventricular Premature Beat) (Z= 8.23, p<.05), Ventricular Tachycardia (Z=6.72, p<.05), V. fibrillation (Z=5.34, p<.05), A.V. Dissociation (Z=7.56), Atrial arrhythmia (Z=4.52), Death (Z=9.1, p<.05) Conclusion: It can be concluded from our study that the two different type with specific treatment like Inferior wall infarction with right ventricular infarction and Inferior wall infarction alone in that Inferior wall infarction alone was having better prognosis.

Key Words: Right ventricular infarction, RVF (right ventricular failure), LVF (left ventricular failure), Bundle Branch Block (BBB), VPB (Ventricular Premature Beat).