title: The change in right ventricular systolic function according to the revascularisation method used, following acute ST -segment elevation myocardial infarction.
abstract: OBJECTIVE
  The level of right ventricular (RV) systolic function has prognostic importance in right ventricular ST-segment elevation myocardial infarction (RV-STEMI). This study aimed to evaluate the changes in RV systolic function in patients with RV-STEMI according to the revascularisation method used for their management.
  
  
  METHODS
  The first group consisted of 132 patients who received primary percutaneous coronary intervention (PPCI). The 78 patients who had received thrombolytic therapy (TT) in external centres before referral to our centre for PCI within three to 12 hours of RV-STEMI were included in the second group. All patients were evaluated by conventional and two-dimensional speckle-tracking echocardiography.
  
  
  RESULTS
  There were 172 male patients and their mean age was 63.7 ± 11.8 years. There were no significant differences between the two groups with regard to right ventricular systolic parameters at admission and at the one-month follow-up visit. The echocardiographic changes between admission and the one-month follow up were investigated for the patients included in the study groups. Mean values of each parameter observed at the one-month follow up were significantly increased compared to those at admission within each group.
  
  
  CONCLUSIONS
  Our study demonstrated that PCI within three to 12 hours following TT provided similar benefits on right ventricular systolic function compared to PPCI in patients with RV-STEMI.
authors.affiliation: Department of Cardiology, Faculty of Medicine, Şifa University, Izmir, Turkey. drilkergul46@gmail.com.
authors.forename: Ilker
authors.initials: I
authors.lastname: Gul
authors.affiliation: Department of Cardiology, Faculty of Medicine, Şifa University, Izmir, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Zungur
authors.affiliation: Department of Cardiology, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turkey.
authors.forename: Ahmet Cagri
authors.initials: AC
authors.lastname: Aykan
authors.affiliation: Department of Cardiology, Faculty of Medicine, Kafkas University, Kars, Turkey.
authors.forename: Tayyar
authors.initials: T
authors.lastname: Gokdeniz
authors.affiliation: Department of Cardiology, Acipayam State Hospital, Denizli, Turkey.
authors.forename: Mustafa Beyazit
authors.initials: MB
authors.lastname: Alkan
authors.affiliation: Department of Cardiology, Tepecik Education and Research Hospital, Izmir, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Sayin
authors.affiliation: Department of Cardiology, Faculty of Medicine, Şifa University, Izmir, Turkey.
authors.forename: Aysel
authors.initials: A
authors.lastname: Islamli
authors.affiliation: Department of Cardiology, Dişkapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Bilgin
authors.affiliation: Department of Cardiology, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turkey.
authors.forename: Ezgi
authors.initials: E
authors.lastname: Kalaycioğlu
authors.affiliation: Department of Cardiology, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turkey.
authors.forename: Turhan
authors.initials: T
authors.lastname: Turan
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004452:Echocardiography / Q000379:methods; D005500:Follow-Up Studies; D006352:Heart Ventricles / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000628:therapy*; D062645:Percutaneous Coronary Intervention / Q000379:methods; D011379:Prognosis; D013599:Systole / Q000502:physiology; D015912:Thrombolytic Therapy / Q000379:methods; D018497:Ventricular Dysfunction, Right / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*