Why the study?
RVMI occurs in up to 50% of inferior wall acute myocardial infarctions and carries a worse prognosis due to a greater propensity for refractory cardiogenic shock.
Early diagnosis and revascularization, along with careful hemodynamic management, are essential to prevent and treat cardiogenic shock in patients with right ventricular myocardial infarction.
Left ventricular inferior wall acute myocardial infarction is associated with right ventricular myocardial infarction (RVMI) in up to 50% of cases. The worse prognosis of RVMI is due to the greater propensity for refractory cardiogenic shock (CS) when compared to isolated inferior wall myocardial infarction (IWMI). The diagnosis is based on the clinic, biomarkers, electrocardiogram (ECG) and coronary angiography. Meanwhile, imaging modalities, such as transthoracic echocardiography (TTE) and cardiac magnetic resonance (CMR) play a complementary role.
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Luhanda Leonora Cardoso Monti Sousa (2020) conducted a review in Right Ventricular Cardiogenic Shock Caused by Myocardial Infarction.
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