|
Left ventricular MI |
Right ventricular MI |
Clinical features |
Pulmonary congestion |
Clear lung fields |
Third and fourth heart sounds |
Right-sided third heart sound |
New mitral regurgitation |
New tricuspid regurgitation |
|
Hypotension with distended neck veins |
Electrocardiogram |
ST elevation in standard leads |
ST elevation in V4R |
|
Commonly associated with inferior MI |
|
Frequent atrioventricular block |
Hemodynamic findings |
Increased pulmonary capillary wedge pressure (PCWP) |
Right atrial pressure (RAP) ≥10 mmHg |
|
RAP:PCWP ≥0.8 |
Specific management |
Fluid restriction |
Fluid resuscitation |
Preload and afterload reduction |
Avoid preload reduction |
Reperfusion therapy |
Reperfusion therapy |
Inotropic agents, if necessary |
Inotropic agents, if necessary |