Life In The Fast Lane Rv Infarct

Syncope shock and chest pain.

Life in the fast lane rv infarct.

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. Right ventricular infarctions are noted to occur with as many as 40 of inferior ami. This is because the resulting weakness of the rv makes the patient s cardiac output extremely preload sensitive. Along with posterior mi you may want to look at rv infarction when you see an inferior mi.

Life in the fast lane. Edith louise potter 1901 1993 was an american pediatric pathologist. Right ventricular infarction complicates up to 40 of inferior stemis. Clinical significance of rv infarction.

Inferior st elevation myocardial infarction. He is also the innovation lead for the australian centre for health innovation at alfred health and clinical adjunct associate professor at monash university. Chris is an intensivist and ecmo specialist at the alfred icu in melbourne. And the potter classification of polycystic kidney disease 1964.

As the name suggests an rv infarct is exactly that. 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. Isolated rv infarction is extremely uncommon. Hay block 1906 mobitz ii av block ecg mobitz av block mobitz type ii 2nd degree av block atrioventricular block.

Topic title dead keywords. 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 infarction accompanies 15 20 of stemis usually occurring in the context of an inferior or lateral infarction. Inferior mi accounts for 40 50 of all myocardial infarctions.

Isolated posterior mi is less common 3 11 of infarcts. Lmca left main coronary artery occlusion st elevation in avr. Generally have a more favourable prognosis than anterior myocardial infarction in hospital mortality only 2 9 however certain factors indicate a worse outcome. 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.

Hypotension in right ventricular infarction is treated with fluid loading and nitrates are contraindicated. An infarction of the right ventricle. 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.