Tuesday, February 18, 2014

Right ventricular myocardial infarction

RIGHT VENTRICULAR MI: Dx: often accompanies inferior MI; JVD + hypotension + clear lungs; V1, III elevation. Rx: same as for any MI=dual antiplatelet therapy (asa plus clopidogrel or ticlopidine) plus statin plus anticoagulant (heparin+integrilin) plus early reperfusion. However, watch out for meds that decrease pre-load (opioids, nitrates, and beta blockers). Volume load (200cc at a time) to increase pre-load.
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