Right ventricular involvement in acute myocardial infarction. Risk stratification by visualization of wall motion, edema
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POSTER PRESENTATION
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Right ventricular involvement in acute myocardial infarction. Risk stratification by visualization of wall motion, edema and delayed enhancement cardiovascular magnetic resonance Matthias Grothoff*, Christian Elpert, Janine Hoffmann, Suzanne de Waha, Ingo Eitel, Holger Thiele, Matthias Gutberlet From 2011 SCMR/Euro CMR Joint Scientific Sessions Nice, France. 3-6 February 2011 Introduction Patients with RVI complicating AMI suffer from increased morbidity and mortality, but it is unclear which patients are in risk of developing RVI. Cardiovascular magnetic resonance (CMR) can identify patients with RVI and might add important information for risk stratification, prognosis and treatment.
analysis predictors of RVI were a low TIMI-flow grade before angioplasty (OR 3.93, 95%CI 1.16-13.29, p=0.03), a high RV myocardial mass (OR 1.1, 95%CI 1.01-1.20, p=0.03) and a low ST segment resolution (OR 2.32, 95% CI 1.06-5.05, p=0.03). In Cox regression the strongest predictor of MACE was RVI (HR 3.66, 95%CI 1.99-5.66, p
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