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.

Life in the fast lane rv infarct. An infarction of the right ventricle. Edith louise potter 1901 1993 was an american pediatric pathologist. Right ventricular infarction complicates up to 40 of inferior stemis. Isolated rv infarction is extremely uncommon.

This is because the resulting weakness of the rv makes the patient s cardiac output extremely preload sensitive. And the potter classification of polycystic kidney disease 1964. They often present in shock and. 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.

Isolated posterior mi is less common 3 11 of infarcts. 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. Topic title dead keywords. They typically do not occur in isolation due to improved collateral blood supply of the right ventricle and overall smaller mass of this chamber.

Hypotension in right ventricular infarction is treated with fluid loading and nitrates are contraindicated. Inferior st elevation myocardial infarction. Posterior infarction accompanies 15 20 of stemis usually occurring in the context of an inferior or lateral 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.

Lmca left main coronary artery occlusion st elevation in avr. Inferior mi accounts for 40 50 of all myocardial infarctions. 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. Along with posterior mi you may want to look at rv infarction when you see an inferior mi.

As the name suggests an rv infarct is exactly that. 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. Right ventricular infarctions are noted to occur with as many as 40 of inferior ami. Hay block 1906 mobitz ii av block ecg mobitz av block mobitz type ii 2nd degree av block atrioventricular block.

Syncope shock and chest pain. Life in the fast lane. Clinical significance of rv infarction.