Inferior Wall Myocardial Infarction

MYOCARDIAL INFARCTION in which the inferior wall of the heart is involved. It is often caused by occlusion of the right coronary artery.

Also Known As:

Diaphragmatic Myocardial Infarctions; Infarction, Diaphragmatic Myocardial; Infarction, Inferior Myocardial; Infarctions, Diaphragmatic Myocardial; Infarctions, Inferior Myocardial; Inferior Myocardial Infarctions; Myocardial Infarction, Diaphragmatic; Myocardial Infarction, Inferior; Myocardial Infarctions, Diaphragmatic; Myocardial Infarctions, Inferior; Acute Inferior Myocardial Infarction; Diaphragmatic Myocardial Infarction; Inferior Myocardial Infarction; Myocardial Infarction, Inferior Wall

Networked: 367 relevant articles (13 outcomes, 26 trials/studies)

Relationship Network

Disease Context: Research Results

Related Diseases

1.	Atrioventricular Block
2.	Ventricular Tachycardia
3.	Myocardial Infarction
4.	Infarction (Infarctions)
5.	Hypotension (Low Blood Pressure)

Experts

1.	Wagner, Galen S: 3 articles (09/2011 - 08/2010)
2.	Baydar, Onur: 2 articles (07/2022 - 09/2013)
3.	Yildiz, Omer: 2 articles (07/2022 - 02/2014)
4.	Picard, Michael H: 2 articles (01/2022 - 01/2018)
5.	Araki, Masaru: 2 articles (11/2021 - 11/2013)
6.	Otsuji, Yutaka: 2 articles (11/2021 - 11/2013)
7.	Sonoda, Shinjo: 2 articles (11/2021 - 11/2013)
8.	Takeuchi, Masaaki: 2 articles (11/2021 - 11/2013)
9.	Yoshimura, Hiromi: 2 articles (03/2021 - 09/2011)
10.	Ghaffari, Samad: 2 articles (12/2018 - 03/2007)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Inferior Wall Myocardial Infarction:

1.	Radioisotopes (Radionuclides)IBA 05/01/1994 - "Polar map or novel three-dimensional display technique for the improved detection of inferior wall myocardial infarction using tomographic radionuclide ventriculography." 04/01/1987 - "The purpose of this study was to define the sequential changes in global and regional right ventricular function, using equilibrium gated radionuclide angiography, following transmural inferior myocardial infarction (IMI) and associated ischemic right ventricular involvement. " 06/01/1986 - "In patients with acute inferior myocardial infarction, follow-up radionuclide studies were performed during the recovery periods on the first, 7th-14th, and 30th hospital day. " 04/01/1994 - "Sixty-eight patients with recent inferior myocardial infarction (without having a left descending arterial lesion) aged 30 to 73 years (mean +/- SD, 59.1 +/- 10.0) were investigated with respect to biventricular function observed in radionuclide ventriculography and treadmill stress electrocardiographic findings. " 05/01/1991 - "The prognostic significance of right ventricular ejection fraction, measured by radionuclide ventriculography, was assessed in 168 consecutive patients with inferior myocardial infarction. "
2.	Tissue Plasminogen Activator (Alteplase)FDA Link 03/01/1997 - "A 30-year-old woman had an acute inferior wall myocardial infarction at 21 weeks' gestation and was successfully treated with intravenous tissue plasminogen activator. " 09/01/1995 - "Under diagnosis of acute inferior myocardial infarction, she was treated with recombinant tissue-type plasminogen activator. " 06/01/1997 - "To assess the efficacy of early accelerated dose tissue plasminogen activator on in-hospital patency of the infarct related artery in patients with inferior myocardial infarction with and without right ventricular involvement. " 09/01/1992 - "We studied 1,786 patients with acute inferior myocardial infarction enrolled in the Thrombolysis in Myocardial Infarction (TIMI) II Trial who received recombinant tissue-type plasminogen activator (rt-PA) within 4 h of the onset of symptoms. " 06/15/2016 - "Does Intravenous Administration of Recombinant Tissue Plasminogen Activator for Ischemic Stroke can Cause Inferior Myocardial Infarction?"
3.	Prothrombin (Factor II)IBA 01/31/2023 - "A predictive model was constructed using the method of binary logistic regression followed by a search for the optimum value of the prognostic function with a ROC analysis. Results The study showed statistically significant roles of total bilirubin, platelets, prothrombin ratio (PTR), activated partial thromboplastin time (APTT), and presence of inferior myocardial infarction in prediction of massive coronary thrombosis in STEMI. "
4.	BilirubinIBA 01/31/2023 - "Independent predictors of massive coronary thrombosis were inferior myocardial infarction and total bilirubin." 01/31/2023 - "According to results of this study, the prognostic model for massive coronary thrombosis in STEMI based on such indexes as the platelet count, PTR, APTT, total bilirubin, and presence of inferior myocardial infarction provides accurate predictions in 73.7 % of cases. " 01/31/2023 - "A predictive model was constructed using the method of binary logistic regression followed by a search for the optimum value of the prognostic function with a ROC analysis. Results The study showed statistically significant roles of total bilirubin, platelets, prothrombin ratio (PTR), activated partial thromboplastin time (APTT), and presence of inferior myocardial infarction in prediction of massive coronary thrombosis in STEMI. "
5.	Atropine FDA LinkGeneric 09/01/1981 - "Atropine-induced multilevel block in acute inferior myocardial infarction. " 09/01/1981 - "The degree of A-V block increased after intravenous administration of atropine in 10 nondigitalized patients with acute inferior myocardial infarction who had narrow QRS complexes during periods of 1:1 A-V conduction. " 10/01/1975 - "Atropine is the drug of choice for management of patients with SB and hypotension and is effective in the treatment of ventricular arrhythmias as well as conduction disturbances in patients with inferior myocardial infarction. " 10/01/1975 - "In addition, atropine administration was associated with improved atrioventricular conduction in 11 of 13 patients (85%) with acute inferior myocardial infarction associated with 2 degrees or 3 degrees atrioventricular block. " 01/01/1991 - " Patients with inferior myocardial infarction (MI) treated with tPA in-flight were more likely to suffer from bradycardia and hypotension requiring atropine injection during transport than the post-flight treated patients or in-flight treated patients with anterior MI. "
6.	Digoxin (Digitek)FDA LinkGeneric 05/01/2003 - "It is particularly helpful in patients with reversible or transient conditions, such as digoxin toxicity and atrioventricular block in the setting of inferior wall myocardial infarction, or when transvenous pacing is not immediately available or carries a high risk of complications. "
7.	Streptokinase FDA Link 08/01/1996 - "We examined the clinical and angiographic outcomes of 16,521 patients with an acute inferior myocardial infarction who underwent thrombolysis in the Global Utilization of Streptokinase and t-PA for Occluded Coronary Arteries (GUSTO-I) study. " 05/01/1986 - "A 32 year old patient who presented with a clinical and electrocardiographic picture consistent with an acute inferior myocardial infarction was treated with intravenous streptokinase without the aid of acute angiographic study. " 10/01/2021 - "Four days earlier, she had been thrombolyzed with streptokinase for inferior wall myocardial infarction in a nearby hospital. " 05/01/2014 - "A 55-year-old male, known diabetic with moderate renal impairment, non-hypertensive, suffered an acute inferior wall myocardial infarction for which he was thrombolyzed with streptokinase. " 01/01/2011 - "Ejection fraction and mortality rate of patients with isolated acute inferior myocardial infarction reperfused by streptokinase."
8.	EnzymesIBA 11/01/1982 - "An electrocardiographic diagnosis of inferior wall myocardial infarction was made in the emergency department and was later substantiated by cardiac enzyme and angiographic studies. " 08/30/2011 - "This evolved into an inferior myocardial infarction by ECG and cardiac enzymes. " 07/01/2003 - "The diagnosis of acute inferior myocardial infarction was based on the clinical history, characteristic enzyme pattern of CK-MB values, and the appearance of ST-segment elevation > or = 1 mm in at least two of the leads (leads II, III, aVF). " 05/01/1995 - "An electrocardiogram showed acute inferior myocardial infarction and serial CPK enzyme levels peaked at 958 IU/L with 9% MB fraction. " 03/01/1994 - "This suggests that the left ventricle dominates enzyme release regardless, with or without right ventricular involvement in patients with acute inferior myocardial infarction. "
9.	Aspirin (Acetylsalicylic Acid)FDA LinkGeneric 09/01/1983 - "We studied patients enrolled in the Aspirin Myocardial Infarction Study (AMIS), ages 30 to 69 years, who sustained an inferior myocardial infarction within 6 months from the start of the study. " 02/15/2015 - "In univariate analysis, history of myocardial infarction, aspirin and β-blocker use, VF before PCI, left main coronary artery disease, inferior myocardial infarction localization, symptom-to-balloon time <360 minutes, maximal ST-segment elevation in a single lead >300 μV, and sum of ST-segment deviations in all leads >1,500 μV were associated with increased risk for rVF. " 02/01/2021 - "Because of the high risk he was commenced on long-term low-dose aspirin and β-adrenergic-blocking agent to reduce myocardial oxygen consumption; however, 3 years later, he presented to the emergency department with acute inferior myocardial infarction. " 06/01/1995 - "We report three patients with acute inferior myocardial infarction treated with aspirin (150 mg) and streptokinase (1.5 MU over 60 min), who developed atropine-resistant bradyarrhythmias during or immediately following streptokinase. " 08/01/2003 - "We report the case of a 59-year-old female with hypertension, admitted to the coronary care unit for acute inferior myocardial infarction and treated with tissue-type plasminogen activator 100 mg in 90 min, intravenous heparin 25,000 U, aspirin 100 mg, and metoprolol 50 mg orally once daily. "
10.	Simvastatin (Zocor)FDA LinkGeneric 01/01/2009 - "The patient was taking 80 mg of simvastatin initiated 20 days earlier after cardiac catheterization for an inferior myocardial infarction. " 01/01/2008 - "The patient was taking 80 mg of simvastatin (initiated 20 days before) after cardiac catheterization for an inferior myocardial infarction. " 01/01/2004 - "On the basis of the obtained results and up to now studies on statins effects we suggest Atorvastatin for treatment the patients with anterior myocardial infarction, increased LDL with normal values of HDL and Simvastatin for treatment the patients with inferior myocardial infarction, decreased HDL."

Therapies and Procedures

1.	Thrombolytic Therapy 07/15/1994 - "RV involvement during acute inferior myocardial infarction, accurately diagnosed by ST-segment elevation in V4R, is a strong, independent parameter for mortality and major in-hospital complications and may help to identify patients who will benefit most from thrombolytic therapy. " 03/01/2017 - "The primary aim of the present study was to evaluate the complications, particularly conduction blocks, subsequent morbidity and mortality, and effect of thrombolytic therapy in Indian patients with inferior wall myocardial infarction (IWMI). " 01/01/2003 - "One hundred eighty-eight patients with acute inferior myocardial infarction who received thrombolytic therapy were enrolled in this study. " 11/15/1998 - "Comparison of thrombolytic therapy and primary coronary angioplasty with liberal stenting for inferior myocardial infarction with precordial ST-segment depression: immediate and long-term results of a randomized study." 08/01/1996 - "This study assessed retrospectively the correlation between the pattern of precordial ST segment depression on the admission electrocardiogram (ECG) and hospital mortality in patients with an inferior myocardial infarction treated with intravenous thrombolytic therapy. "
2.	Percutaneous Coronary Intervention 10/15/2023 - "He was diagnosed as having subacute inferior myocardial infarction, and percutaneous coronary intervention was performed. " 08/01/2022 - "A 70-year-old female with inferior wall myocardial infarction developed hemodynamic instability following transfemoral percutaneous coronary intervention. " 11/01/2021 - "Right ventricular branch compromise (RVBC) following percutaneous coronary intervention (PCI) in patients with acute inferior myocardial infarction (AIMI) is associated with short-term adverse clinical outcomes. " 10/01/2021 - "A 74-year-old woman developed inferior myocardial infarction due to right coronary artery occlusion and underwent percutaneous coronary intervention. " 09/01/2021 - "Role of 2-dimensional speckle tracking echocardiography in diagnosis of right ventricular involvement in patients with inferior wall myocardial infarction undergoing primary percutaneous coronary intervention."
3.	Therapeutics 08/01/1987 - "We conclude that significant improvement in global and regional left ventricular function in patients with inferior myocardial infarction is possible when reperfusion therapy is begun early or when arterial patency is achieved." 09/01/2011 - "The aim of this study was to assess the relationship between initial ST-segment deviation and final QRS complex changes related to the posterolateral left ventricular wall in patients with acute inferior myocardial infarction receiving reperfusion therapy. " 10/01/2008 - "Meanwhile, inferior wall myocardial infarction (MI) with complicating right ventricular MI(OR = 4.585, P = 0.002), sweating (OR = 1.970, P = 0.016), unbearable symptoms (OR = 1.836, P = 0.038) and medical insurance (OR = 1.968, P = 0.029) were independent predictors for receiving reperfusion therapy. " 02/01/2000 - "[Does reperfusion therapy reduce complications in acute inferior myocardial infarction?]." 01/01/1998 - "The presence of anterior ST depression during inferior myocardial infarction identifies a group of patients with the potential for greater myocardial salvage with reperfusion therapy. "
4.	Cryosurgery 03/01/1985 - "We conclude that well-defined monomorphic ventricular tachycardia in patients with a previous inferior myocardial infarction can be successfully treated with localized endocardial resection and/or cryoablation. " 10/01/1986 - "These results suggest that subendocardial resection with additional cryoablation of the annular isthmus results in improved control of ventricular tachycardia in patients with ventricular tachycardia associated with inferior wall myocardial infarction. " 12/01/1997 - "A superior-septal approach was used for mapping and cryoablation of the left ventricular endocardium over the mitral annulus in a patient with ventricular tachycardia associated with an inferior myocardial infarction without a ventricular aneurysm. "
5.	Thrombectomy 05/01/2007 - "[Diver CE versus Guardwire Plus for thrombectomy during primary angioplasty for inferior myocardial infarction]." 04/05/2007 - "Diver CE versus Guardwire Plus for thrombectomy in patients with inferior myocardial infarction: a trial of aspiration of thrombus during primary angioplasty for inferior myocardial infarction." 05/01/2007 - "In this randomized prospective single-center study, we compared the efficacy of adjunctive thrombectomy using Diver CE device (Linvatec, Italy) versus Guardwire Plus device (Medtronic, USA) before percutaneous coronary intervention (PCI) in patients with <12 h acute inferior myocardial infarction (AIMI) and Thrombolysis In Myocardial Infarction (TIMI) flow grade 0 to 1. The primary end point was the magnitude of ST-segment resolution after PCI. "