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      The effects of urgent percutaneous coronary intervention on right ventricular systolic functions in non-ST-elevation acute coronary syndromes

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          Abstract

          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 effects of urgent percutaneous coronary intervention (PCI) on the RV systolic functions in patients with NSTE-ACS. Materials and Methods: Ninety-five 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 significant increase in 2D FAC and IVA values after PCI. Conclusions: The right ventricular functions may also be affected in patients with NSTE-ACS, and urgent PCI has a significant ef ect on the recovery of right ventricular systolic functions in patients with NSTE-ACS.

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          Author and article information

          Journal
          1646
          Interventional Medicine and Applied Science
          IMAS
          Akadémiai Kiadó
          2061-1617
          June 2015
          : 7
          : 2
          : 69-77
          Affiliations
          [1 ]Department of Cardiology, Göztepe Training and Research Hospital, Istanbul Medeniyet University , İstanbul, Turkey
          [2 ]Department of Cardiology, Kartal Kosuyolu Heart Training and Research Hospital , İstanbul, Turkey
          [3 ]Department of Internal Medicine, Göztepe Training and Research Hospital, Istanbul Medeniyet University , İstanbul, Turkey
          Author notes
          [*]

          Corresponding author: Nurşen Keleş, MD; Department of Cardiology, Göztepe Training and Research Hospital, Istanbul Medeniyet University, İstanbul, Turkey; Phone: (90)507 987 7745; E-mail: drnursenkeles@ 123456yahoo.com.tr

          Article
          10.1556/1646.7.2015.2.5
          e6e91706-a0ce-4b08-a6bb-94de5686933a
          © 2015 Akadémiai Kiadó, Budapest

          This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited.

          Page count
          Pages: 9
          Categories
          Original Paper

          Medicine,Immunology,Health & Social care,Microbiology & Virology,Infectious disease & Microbiology
          non-ST-elevation acute coronary syndrome,percutaneous coronary intervention,isovolumic acceleration,two-dimensional right ventricle fractional area change,tricuspid annular plane systolic excursion,right ventricular index of myocardial performance

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