Academic Editors: Zhonghua Sun and Yung-Liang Wan
Background: In patients with inferior myocardial infarction (MI),
involvement of the right chambers has a prognostic impact. The objective of this
study was to evaluate the influence of left ventricular (LV) inferior wall MI in
the right atrial (RA), and right ventricular (RV) longitudinal strain (LS) by 2D
speckle tracking echocardiography (STE). Methods: 60 consecutive
patients who underwent myocardial perfusion (MP) gated SPECT for chest pain were
included. We studied 30 patients with LV inferior MI and 30 control subjects with
normal MP. RV ejection fraction was measured by 3D transthoracic
echocardiography, RV-free wall LS and RA reservoir, contraction, and conduit
phases strain were analyzed by 2D speckle tracking echocardiography
(STE). Results: The median age in the LV inferior MI was 65 (54–70)
years, 27% had a transmural myocardial infarction and 47% had residual
myocardial ischemia, most of them, mild (36.7%). RV-free wall LS (–26.1 vs
–30.3, p