Assessment of ECG Criteria for the Diagnosis of Right Ventricular Involvement
Objectives: This study was performed to assess the accuracy of standard electrocardiographic criteria in diagnosing of right ventricular (RV) involvement in patients with inferior myocardial infarction (IMI). Methods: This was a retrospective analysis of patients admitted with an IMI. Proximal occlu...
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| Format: | Article |
| Language: | English |
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Oman Medical Specialty Board
2024-07-01
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| Series: | Oman Medical Journal |
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| Online Access: | https://omjournal.org/articleDetails.aspx?coType=1&aId=3810 |
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| author | Suhaib Al-Mashari Reem Al-Habsi Amal Al-Habsi Yasir Al-Malki Mashaal Al-Saadi Adil Al-Riyami Sunil K. Nadar |
| author_facet | Suhaib Al-Mashari Reem Al-Habsi Amal Al-Habsi Yasir Al-Malki Mashaal Al-Saadi Adil Al-Riyami Sunil K. Nadar |
| author_sort | Suhaib Al-Mashari |
| collection | DOAJ |
| description | Objectives: This study was performed to assess the accuracy of standard electrocardiographic criteria in diagnosing of right ventricular (RV) involvement in patients with inferior myocardial infarction (IMI). Methods: This was a retrospective analysis of patients admitted with an IMI. Proximal occlusion of the right coronary artery before the origin of the RV branch on angiography was considered diagnostic of RV involvement. Results: The subjects were 129 patients (mean age = 55.8±13.1 years; 81.4% male) with inferior ST-elevation myocardial infarction. The most sensitive indicators of RV involvement were an ST elevation in V4R (72.9%) and a higher ST elevation in lead III than in lead II (80.4%). The most specific indicators were ST elevation in V1 (88.7%) and ST elevation in V1 with ST depression in V2 (97.1%). Combining all the criteria improved sensitivity to 85.7% but reduced specificity to 21.2%. Conclusions: No single electrocardiogram criterion was able to identify all cases of RV involvement in patients with IMI. Combining the different criteria helped pick up more cases at the cost of increasing false positives. |
| format | Article |
| id | doaj-art-c020edd15ec943fdb204e0411b148ddc |
| institution | Kabale University |
| issn | 1999-768X 2070-5204 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Oman Medical Specialty Board |
| record_format | Article |
| series | Oman Medical Journal |
| spelling | doaj-art-c020edd15ec943fdb204e0411b148ddc2025-01-26T07:04:36ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042024-07-01394e648e64810.5001/omj.2024.85Assessment of ECG Criteria for the Diagnosis of Right Ventricular InvolvementSuhaib Al-Mashari0Reem Al-Habsi1Amal Al-Habsi2Yasir Al-Malki3Mashaal Al-Saadi4Adil Al-Riyami5Sunil K. Nadar6Department of Clinical Physiology, Sultan Qaboos University Hospital, Muscat, OmanCollege of Medicine and Health Sciences, Sultan Qaboos University, Muscat, OmanCollege of Medicine and Health Sciences, Sultan Qaboos University, Muscat, OmanDepartment of Clinical Physiology, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Clinical Physiology, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Medicine, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Medicine, Sultan Qaboos University Hospital, Muscat, OmanObjectives: This study was performed to assess the accuracy of standard electrocardiographic criteria in diagnosing of right ventricular (RV) involvement in patients with inferior myocardial infarction (IMI). Methods: This was a retrospective analysis of patients admitted with an IMI. Proximal occlusion of the right coronary artery before the origin of the RV branch on angiography was considered diagnostic of RV involvement. Results: The subjects were 129 patients (mean age = 55.8±13.1 years; 81.4% male) with inferior ST-elevation myocardial infarction. The most sensitive indicators of RV involvement were an ST elevation in V4R (72.9%) and a higher ST elevation in lead III than in lead II (80.4%). The most specific indicators were ST elevation in V1 (88.7%) and ST elevation in V1 with ST depression in V2 (97.1%). Combining all the criteria improved sensitivity to 85.7% but reduced specificity to 21.2%. Conclusions: No single electrocardiogram criterion was able to identify all cases of RV involvement in patients with IMI. Combining the different criteria helped pick up more cases at the cost of increasing false positives.https://omjournal.org/articleDetails.aspx?coType=1&aId=3810right ventricular infarctionright ventricular involvementinferior myocardial infarctionelectrocardiogramoman |
| spellingShingle | Suhaib Al-Mashari Reem Al-Habsi Amal Al-Habsi Yasir Al-Malki Mashaal Al-Saadi Adil Al-Riyami Sunil K. Nadar Assessment of ECG Criteria for the Diagnosis of Right Ventricular Involvement Oman Medical Journal right ventricular infarction right ventricular involvement inferior myocardial infarction electrocardiogram oman |
| title | Assessment of ECG Criteria for the Diagnosis of Right Ventricular Involvement |
| title_full | Assessment of ECG Criteria for the Diagnosis of Right Ventricular Involvement |
| title_fullStr | Assessment of ECG Criteria for the Diagnosis of Right Ventricular Involvement |
| title_full_unstemmed | Assessment of ECG Criteria for the Diagnosis of Right Ventricular Involvement |
| title_short | Assessment of ECG Criteria for the Diagnosis of Right Ventricular Involvement |
| title_sort | assessment of ecg criteria for the diagnosis of right ventricular involvement |
| topic | right ventricular infarction right ventricular involvement inferior myocardial infarction electrocardiogram oman |
| url | https://omjournal.org/articleDetails.aspx?coType=1&aId=3810 |
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