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🫀 Right Ventricular Myocardial Infarction (RV MI) 📌 RV MI usually occurs due to proximal RCA occlusion. It often accompanies inferior wall MI and can result in severe hemodynamic instability despite preserved LV systolic function. 🔍 Echocardiographic Features: 🔴 Key Echo Clues: Dilated RV Hypokinesia or akinesia of RV free wall (especially mid and apical segments) Paradoxical septal motion (from RV pressure overload) McConnell’s Sign: Hypokinetic mid RV free wall with preserved apical contra
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🫀 Right Ventricular Myocardial Infarction (RV MI) 📌 RV MI usually occurs due to proximal RCA occlusion. It often accompanies inferior wall MI and can result in severe hemodynamic instability despite preserved LV systolic function. 🔍 Echocardiographic Features: 🔴 Key Echo Clues: Dilated RV Hypokinesia or akinesia of RV free wall (especially mid and apical segments) Paradoxical septal motion (from RV pressure overload) McConnell’s Sign: Hypokinetic mid RV free wall with preserved apical contra
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Inferior Myocardial Infarction ST-elevation in leads II, III, aVF signals an inferior MI, most commonly from RCA occlusion. Vigilance for RV infarction (hypotension, elevated JVP) is critical. First-line management for hypotension is IV fluid resuscitation; avoid nitrates. Monitor for AV nodal blocks. #Cardiology #ACS #MI #ECG #RVinfarction #MedEd #CardioEd #ClinicalScience | Abdallah Othman
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Part 2: How to conduct a right sided ECG for a right ventricular infarction. V4R: 5th ICS, mid-clavicular line V3R: Midway between V4R & V1 📚 Learn. Adapt. Respond. 🤕 Master trauma in 30 days for Free. Head over to our bio to sign up 🤜 Save it. Share it. Like it. #heartattack #ecg #medicalstudents #paramedicsoftiktok #nursetok
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Abdallah Othman on Instagram: "Inferior Myocardial Infarction ST-elevation in leads II, III, aVF signals an inferior MI, most commonly from RCA occlusion. Vigilance for RV infarction (hypotension, elevated JVP) is critical. First-line management for hypotension is IV fluid resuscitation; avoid nitrates. Monitor for AV nodal blocks. #Cardiology #ACS #MI #ECG #RVinfarction MedEd CardioEd ClinicalScience"
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Figure 1: Diagnostic and management guide for Anterior, Inferior, and Right Ventricular ST-Elevation Myocardial Infarction (STEMI), correlating infarct location, culprit artery, key ECG leads, and critical clinical considerations. #STEMI #Cardiology #ECG #EmergencyMedicine #MedEd | Abdallah Othman
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