Right ventricular infarction in acute inferior wall myocardial infarction is an independent predictor of major complications and in-hospital mortality, requiring specific management to maintain right ventricular filling pressure.
RVI in acute IWMI signals higher complication risk; Level 5 data leaves open whether routine right precordial ECG alters outcomes.
The present study deals with the clinical profile of right ventricular infarction as diagnosed by right precordial electrocardiography in patients with acute inferior wall myocardial infarction. Recognition of the syndrome of RVI is important, as it identifies a significant clinical entity which is associated with and is an independent predictor of major complications and in hospital mortality after acute IWMI. The main purpose of this study was to become aware of RVI and its complications like hypotension, arrhythmias and conduction disorders, which not only need appropriate therapy but also requires avoidance of inappropriate therapy, which may reduce right ventricular filling pressure and cardiac output further worsening the condition.
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Pandey et al. (2017) studied this question.
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