Life In The Fast Lane Rv Infarct

Isolated rv infarction is extremely uncommon.

Life in the fast lane rv infarct.

Lmca left main coronary artery occlusion st elevation in avr. 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. Along with posterior mi you may want to look at rv infarction when you see an inferior mi. Posterior infarction accompanies 15 20 of stemis usually occurring in the context of an inferior or lateral infarction.

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. They often present in shock and. 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. Hay block 1906 mobitz ii av block ecg mobitz av block mobitz type ii 2nd degree av block atrioventricular block. As the name suggests an rv infarct is exactly that. This is because the resulting weakness of the rv makes the patient s cardiac output extremely preload sensitive.

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. Edith louise potter 1901 1993 was an american pediatric pathologist. 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. An infarction of the right ventricle.

He is also the innovation lead for the australian centre for health innovation at alfred health and clinical adjunct associate professor at monash university. Right ventricular infarctions are noted to occur with as many as 40 of inferior ami. Isolated posterior mi is less common 3 11 of infarcts. Right ventricular infarction complicates up to 40 of inferior stemis.

Clinical significance of rv infarction. 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. Inferior st elevation myocardial infarction.

And the potter classification of polycystic kidney disease 1964. Syncope shock and chest pain. Life in the fast lane.