Life Inthe Fast Lane Rv Infarction

Often missed early in presentation.
Life inthe fast lane rv infarction. Hypotension in right ventricular infarction is treated with fluid loading. As the name suggests an rv infarct is exactly that. The more myocardium involved the higher likelihood of ventricular arrhythmias and complications 1. Posterior myocardial infarction life in the fastlane ecg library litfl.
Right ventricular infarction complicates up to 40 of inferior stemis. Dr theo sklavos ecg interpretation. 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. 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.
Chris is an intensivist and ecmo specialist at the alfred icu in melbourne. They often present in shock and. He is also the innovation lead for the australian centre for health innovation at alfred health and clinical adjunct associate professor at monash university. High mortality 59 93 associated with mesenteric ischemia.
Isolated rv infarction is extremely uncommon. Life in the fast lane. Clinical significance of rv infarction. This podcast is in the life in the fast lane review the very best of global foam in em.
Life in the fast lane medical blog. Academic life in em life in the fast lane em lyceum r e b e l em emcrit ercast umem educational pearls. Prevalence and outcome of st segment elevation in posterior electrocardiographic leads during acute myocardial infarction. 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.
An infarction of the right ventricle. Myocardial ischaemia and infarction part two of a 5 part lecture series on ecg ekg interpretation of myocardial ischemia and infarction with cardiologist read more. These have the most direct anatomical route for the catheter to pass and successfully land in the rv. Click to share on facebook opens in new window click to share on twitter opens in new window related.
Life in the fast lane. Picture reproduced from life in the fast lane 1 remember posterior stemis can accompany 15 20 of inferior and lateral stemis signifying a larger area of myocardial involvement. Mesenteric ischemia consists of four entities. Early diagnosis and intervention associated with improved mortality and morbidity.
Acc aha guidelines for the management of patients with st elevation myocardial infarction. Funtabulously frivolous friday five 309. Conklin ef giannelli. 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.
This is because the resulting weakness of the rv makes the patient s cardiac output extremely preload sensitive.