N-terminal pro-Brain Natriuretic peptide in combination with the 80-lead body surface map improves detection of acute inferior myocardial infarction with right ventricular involvement

摘要

Right ventricular myocardial infarction with an acute inferior infarction remains a diagnostic challenge and is associated with increased rates of morbidity and mortality necessitating rapid myocardial reperfusion for their reduction. In this study, we have shown that in patients with acute inferior-territory myocardial infarction, the early combination of Body Surface Potential Mapping and serum N-terminal pro-Brain Natriuretic peptide identifies those with right ventricular involvement - a group where early reperfusion is paramount.