Right side involvement MI Flashcards
1
Q
How many patient suffer right sided MI and what are the concerns involved with it?
A
approximately 40% of ST elevation MI will have right sided involvement.
Can be a concerns when administering nitrates due to hypotension.
2
Q
How do I recognise Right sided MI ?
A
- ST elevation in LIII is greater than in LII
- STD in V2 accompanied with STE or isometric STE in V1
- Once ECG leads changed > 0.5mm STE IN V3R and V4R
3
Q
What leads can right sided MI be present in?
A
Refer to recognition
However when in doubt move V4 to mirror opposite side and V3 can be moved too.
- Remember to change the name from V4/3 TO V4R/V3R
4
Q
Signs and symptoms of Right sided MI involvement?
A
Hypotension
chest pain
Jugular distension
shock
can be asymptomatic
women may present different
5
Q
concerns of right sided MI?
A
Refer to guidelines as administration of nitrates and certian analgesia can cause significant preload complications causing hypotension and possible circulatory collapse.
