As the name suggests an rv infarct is exactly that.
Life in the fast lane rv infarct.
It commonly shows on a 12 lead ecg as st segment elevation in v1 and in leads ii and iii with iii showing greater than ii as lead iii has a better angle on the rv litfl 1.
Generally have a more favourable prognosis than anterior myocardial infarction in hospital mortality only 2 9 however certain factors indicate a worse outcome.
And the potter classification of polycystic kidney disease 1964.
Patients with rv infarction are very preload sensitive due to poor rv contractility and can develop severe hypotension in response to nitrates or other preload reducing agents.
Posterior extension of an inferior or lateral infarct implies a much larger area of myocardial damage with an increased risk of left ventricular dysfunction and death.
Patients with rv infarction are very preload sensitive due to poor rv contractility and can develop severe hypotension in response to nitrates or other preload reducing agents.
They often present in shock and.
A case report in 1974 was the first to mention right ventricle rv infarction as a distinct entity noting that patients with this pathology exhibit a unique clinical and haemodynamic syndrome.
Isolated rv infarction is extremely uncommon.
This is because the resulting weakness of the rv makes the patient s cardiac output extremely preload sensitive.
Clinical significance of rv infarction.
Lmca left main coronary artery occlusion st elevation in avr.
Syncope shock and chest pain.
Isolated posterior mi is less common 3 11 of infarcts.
Posterior infarction accompanies 15 20 of stemis usually occurring in the context of an inferior or lateral infarction.
They typically do not occur in isolation due to improved collateral blood supply of the right ventricle and overall smaller mass of this chamber.
Right ventricular infarctions are noted to occur with as many as 40 of inferior ami.
Along with posterior mi you may want to look at rv infarction when you see an inferior mi.
Inferior mi accounts for 40 50 of all myocardial infarctions.
Life in the fast lane.
He is a co founder of the australia and new zealand clinician educator network anzcen and is the lead for the anzcen clinician educator incubator programme.
Hay block 1906 mobitz ii av block ecg mobitz av block mobitz type ii 2nd degree av block atrioventricular block.
Right ventricular infarction complicates up to 40 of inferior stemis.
Topic title dead keywords.
Hypotension in right ventricular infarction is treated with fluid loading and nitrates are contraindicated.
Chris is an intensivist and ecmo specialist at the alfred icu in melbourne.
Edith louise potter 1901 1993 was an american pediatric pathologist.
