inferior MI could be right sided STEMI
- related: Cardiology
- tags: #literature #icu #cardiology
- suspect RV infarction in all inferior MI (although only happens in 30% patients)
- clinical signs: JVD, hypotension, clear lungs
- significance: RV infarct can lead to decreased LV preload
- avoid excessive fluid that can further move septum to left123
Links to this note
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anterior ST depression is either anterior ischemia or posterior STEMI
- caution with nitrates use for possible inferior MI could be right sided STEMI
Footnotes
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Dell’Italia LJ, Starling MR, Blumhardt R, Lasher JC, O’Rourke RA. Comparative effects of volume loading, dobutamine, and nitroprusside in patients with predominant right ventricular infarction. Circulation. 1985;72(6):1327-1335. PubMed ↩
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Jacobs AK, Leopold JA, Bates E, et al. Cardiogenic shock caused by right ventricular infarction: a report from the SHOCK registry. J Am Coll Cardiol. 2003;41(8):1273-1279. PubMed ↩