Key result
Post-MI RV failure management relies on expert consensus and extrapolation due to limited specific data.
Why the study?
Right ventricular failure due to acute myocardial infarction carries high morbidity and mortality, yet specific management data remain limited and largely reliant on expert consensus and other RVF etiologies.
This review summarizes the current literature and expert consensus on the management of post-myocardial infarction right ventricular failure, highlighting the need for more specific data.
Answers are grounded in this paper and cite their sources.
Post-MI RV failure management defaults to consensus and extrapolation; leaves open the need for dedicated prospective trials.
Right ventricular failure (RVF) due to an acute myocardial infarction (MI) has been associated with high morbidity and mortality. Initial treatment is guided by early recognition and prompt revascularization. Current management of post-MI RVF is built upon expert consensus and is also informed by RVF from other etiologies, including massive pulmonary embolism, left ventricular assist device-associated right ventricular dysfunction, postcardiotomy shock, etc.; this speaks to the limited data available on the specific management of RVF in acute MI. The goal of this review is to discuss the current literature on the pathophysiology, general management considerations, interventional management, hemodynamic monitoring, medical management, and mechanical circulatory support of MI-induced RVF.
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Haloot et al. (2022) conducted a review in Post-Myocardial Infarction Right Ventricular Failure. Management of MI-induced RVF was evaluated. Current management of post-myocardial infarction right ventricular failure relies on expert consensus and extrapolation from other etiologies due to limited specific data.
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