TY - JOUR A1 - Reda, Ahmed A1 - El-Noamany, Mohamed A1 - Ahmed, Naglaa A1 - Saad Tayel, Hesham T1 - Assessment of right ventricular function in patients with first inferior myocardial infarction: strain imaging study Y1 - 2016/4/1 JF - Menoufia Medical Journal JO - Menoufia Med J SP - 418 EP - 422 VL - 29 IS - 2 UR - http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2016;volume=29;issue=2;spage=418;epage=422;aulast=Reda DO - 10.4103/1110-2098.192438 N2 - Objective: The aim of the study was to assess strain and strain rate (SR) properties of the right ventricle (RV) in patients with RV myocardial infarction (MI). Background: Quantitative assessment of RV function is still challenging due to its complex anatomy and thin wall structure, and therefore is not incorporated into daily clinical practice. Two-dimensional strain and SR analyses are novel Doppler-independent techniques to obtain these measurements of myocardial movement and deformation. These methods have been frequently used to assess left ventricular function; however, they have yet rarely been used to examine RV function, despite RV function is an important prognostic factor in patients with acute first inferior MI. Patients and methods: A total of 40 patients with acute inferior MI were included in this study; 20 patients had ECG signs of inferior MI without RV infarction (group II) and 20 patients had ECG signs of inferior MI with RV infarction (group III). In all, 20 age-matched and sex-matched healthy volunteers were included as a control group (group I), using two-dimensional speckle tracking measurements of RV free wall longitudinal strain and SR in the apical four-chamber. Results: A statistically highly significant difference was found among the three groups regarding the peak systolic longitudinal strain at apical, mid, and basal segments of RV free wall (P < 0.0001), and significant difference was found among the three groups regarding The peak systolic SR at basal and mid segments of RV free wall (P < 0.05). Conclusion: This study demonstrates that RV strain and SR were lower in patients with left ventricular inferior wall MI with RV infarction compared with those without RV infarction. ER -