The eff ects of urgent percutaneous coronary intervention on right ventricular systolic functions in non-ST-elevation acute coronary syndromes
Interventional Medicine and Applied Science, cilt.7, sa.2, ss.69-77, 2015 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 7 Sayı: 2
- Basım Tarihi: 2015
- Doi Numarası: 10.1556/1646.7.2015.2.5
- Dergi Adı: Interventional Medicine and Applied Science
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.69-77
- Anahtar Kelimeler: non-ST-elevation acute coronary syndrome, right ventricular index of myocardial performance, tricuspid annular plane systolic excursion, two-dimensional right ventricle fractional area change, isovolumic acceleration, percutaneous coronary intervention
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Although the importance of the right ventricle (RV) involvement has been known for many years in patients with ST-elevation myocardial infarction (STEMI), it is scarce in non-ST-elevation acute coronary syndrome (NSTE-ACS). Objectives: We aimed to investigate the eff ects of urgent percutaneous coronary intervention (PCI) on the RV systolic functions in patients with NSTE-ACS. Materials and Methods: Ninety-fi ve patients diagnosed with NSTE-ACS and who underwent urgent PCI were prospectively investigated. RV systolic functions were analyzed and compared before and after PCI in all patients by using RV index of myocardial performance (RIMP), tricuspid annular plane systolic excursion (TAPSE), two-dimensional (2D) RV fractional area change (FAC), and isovolumic acceleration (IVA) parameters with transthoracic echocardiography. Results: Among 95 NSTE-ACS patients, 31 had impaired RIMP, 13 had impaired TAPSE, 8 had decreased 2D FAC, and 32 had impaired IVA values at baseline. There was a signifi cant increase in 2D FAC and IVA values after PCI. Conclusions: The right ventricular functions may also be aff ected in patients with NSTE-ACS, and urgent PCI has a signifi cant eff ect on the recovery of right ventricular systolic functions in patients with NSTE-ACS.