Right Ventricular infarction | Detailed Explanation |

#ventricularinfarction Right Ventricular infarction | Detailed Explanation | Detailed overview of right ventricular infarction Right Ventricular Infarction -  Occurs due to Right coronary artery occlusion  Right ventricular failure and elevated right ventricular filling pressures despite relatively normal left ventricular filling pressures resulting in decreased cardiac output  Less likely to infarct vs left side due to low pressure and oxygen demand  Higher mortality rate Signs and symptoms -  Hypotension  Hypoxia – due to right to left shunting  Distended neck veins  Bradycardia requiring pacing support  May auscultate 3rd and 4th heart sounds  Clear lung sounds Diagnosis -  Chest x-ray  Echocardiogram  EKG – serial 12 lead EKG’s may be needed, may be normal or inconclusive during first few hours after an MI.  Abnormalities include:  Non Q wave MI  ST segment elevation  Q Waves (represents scarring and necrosis)  Coronary angiography  Reveals coronary artery stenosis or obstruction  Shows the condition of the arteries beyond the narrowing  Stress Testing  Serial Laboratory studies  Troponins  Creatine kinase (CK) especially the CK-MB, specific to the cardiac muscle  Lipid profile Treatment -  Avoid nitroglycerin  IV fluid • Avoid dopamine and phyenlephrine • Oxygen • Rest • Thrombolytic therapy • Aspirin If you like our videos please do not forget to like, comment, subscribe to the channel. Also, share with your friends and family. You may Donate to support us at - ift.tt/2Itif07 ************************** Visit our website at ift.tt/2CeHiyS ************************** Our Facebook Page ift.tt/2Fb2CYn ************************** Our Facebook Group ift.tt/2F0p0Ra ************************** Our Youtube channel page www.youtube.com/channel/UClOfk9gsvf5dKLZXuctxTNA ************************** Follow us on twitter twitter.com/navmedvideos ************************** The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. This information is intended for medical education, and does not create any doctor-patient relationship, and should not be used as a substitute for professional diagnosis and treatment.

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