Ofter times there can be a slight ST elevation in v1 in RV IM so 12 lead ECG can identify RV IM without the need of right Vent Leads. The same for v2 which can identify posterior wall STEMI if there is a Mirror image inthat lead( ST Depression) always remember to look for mirror images while analysing ECG🙏🏼.
I was thinking that this patient would more likely appear with bradycardia, JVD, and hypotention. Can someone please explain this to me? Is bradycardia more unlikely, or am I mixing this up with another form of right sided MI? Thanks in advance!
If the patient had isolated inferior mi then he would develop bradycardia but if rt ventricu also involves as both r supplied by right coronary artery then he would develop rt heart failure ..... management of right heart failure is totally different
Yes, I understand that nitrates are avoided etc. I have also done some reading stating now that this tc (in regards to nitro admin) my now start being considered.
Decrease of RV output means less blood in the pulmonary system and subsequently less blood volume coming back to the left ventricle= decreased preload, followed by a decreased cardiac output.
spacefed101 However, one mm of elevation in lead V4R is highly specific and specific for RV infarction. Not doing a right sided ECG is lazy. It’s also negligent.
Thank you !!
This was so helpful! Thank u
Nice job, thank you for the refresher!
Loved the video. Excellent explanations. Easy to understand!
This was so helpful!
It was very helpful. Thank you
Thank you so much
Great !!! Very well explained!
sooooo nice, thanks ALOOOOOOOT
thanks, great.
Ofter times there can be a slight ST elevation in v1 in RV IM so 12 lead ECG can identify RV IM without the need of right Vent Leads. The same for v2 which can identify posterior wall STEMI if there is a
Mirror image inthat lead( ST Depression) always remember to look for mirror images while analysing ECG🙏🏼.
Thank you very much sir
Good job!
excelente explicación!!!!!!
Ty doc
How then do you make a differential dx of PE? I'm imagining SOB as Symptom here.
what about chest pain? what to be given for pain in all this process?
Lokesh Vaishnav Fentanyl. Less hypotension than with NTG and MSO4.
excellent, but PLEASE get some better EKG. Quality is horrible.
I was thinking that this patient would more likely appear with bradycardia, JVD, and hypotention. Can someone please explain this to me? Is bradycardia more unlikely, or am I mixing this up with another form of right sided MI? Thanks in advance!
If the patient had isolated inferior mi then he would develop bradycardia but if rt ventricu also involves as both r supplied by right coronary artery then he would develop rt heart failure ..... management of right heart failure is totally different
Yes, I understand that nitrates are avoided etc. I have also done some reading stating now that this tc (in regards to nitro admin) my now start being considered.
I meant to write TX not TC
why does a decrease in RV output result in decreased preload in LV?
Decrease of RV output means less blood in the pulmonary system and subsequently less blood volume coming back to the left ventricle= decreased preload, followed by a decreased cardiac output.
how about the management?
3:00~3:07
Give IV fluid instead
U dont need right sided leads to confirm RV involvement. It can be seen on the standard 12 lead.
spacefed101 However, one mm of elevation in lead V4R is highly specific and specific for RV infarction. Not doing a right sided ECG is lazy. It’s also negligent.