Makindo Medical Notes"One small step for man, one large step for Makindo" |
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Related Subjects: |Atherosclerosis |Ischaemic heart disease |Assessing Chest Pain |ACS: general |ACS: NSTEMI |ACS: STEMI |ACS: Right Ventricular STEMI
❤️ Right Ventricular Myocardial Infarction (RVMI) is a specific type of STEMI affecting the RV, usually in conjunction with an inferior wall MI (both supplied by the RCA). ⚠️ Prognosis is worse due to hypotension, arrhythmias, and right-sided pump failure. The possibility of other causes (PE, pulmonary hypertension, hypovolemia) may cloud the diagnosis.
💡 Exam Pearl: Think RVMI in a hypotensive patient with inferior STEMI, raised JVP, clear lung fields, and ST elevation in V4R. ❌ Avoid nitrates → they reduce preload and can precipitate shock.