Life In The Fast Lane Rv Infarct

Clinical significance of rv infarction.

Life in the fast lane rv infarct.

Isolated posterior mi is less common 3 11 of infarcts. 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. Inferior mi accounts for 40 50 of all myocardial infarctions. They typically do not occur in isolation due to improved collateral blood supply of the right ventricle and overall smaller mass of this chamber.

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. Inferior st elevation myocardial infarction. This is because the resulting weakness of the rv makes the patient s cardiac output extremely preload sensitive. Life in the fast lane.

Right ventricular infarction complicates up to 40 of inferior stemis. Syncope shock and chest pain. Chris is an intensivist and ecmo specialist at the alfred icu in melbourne. Posterior infarction accompanies 15 20 of stemis usually occurring in the context of an inferior or lateral infarction.

Hypotension in right ventricular infarction is treated with fluid loading and nitrates are contraindicated. Isolated rv infarction is extremely uncommon. Along with posterior mi you may want to look at rv infarction when you see an inferior mi. Edith louise potter 1901 1993 was an american pediatric pathologist.

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. Lmca left main coronary artery occlusion st elevation in avr. And the potter classification of polycystic kidney disease 1964.

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. Generally have a more favourable prognosis than anterior myocardial infarction in hospital mortality only 2 9 however certain factors indicate a worse outcome. 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.

He is also the innovation lead for the australian centre for health innovation at alfred health and clinical adjunct associate professor at monash university. As the name suggests an rv infarct is exactly that. An infarction of the right ventricle.