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Posts Tagged ‘rvmi with st eelvation in v1 to v2 v3’

Traditionally  RVMI  is  suspected   only with infero -posterio MI .

Can RVMI occur with LAD disease ?

Yes , it is reported up to 13 % of  Anterior MI (Cabin AHJ 1987)   .  Right  ventricle has an anterior wall  and blood supply to this area is from LAD .

Have a look at this ECG

isolated rvmi right ventricular infarction  due lad disease st eelvation in v1 v2 v3

Reference

1Cabin HS, Clubb KS, Wackers FJ, Zaret BL. Right ventricular myocardial infarction with anterior wall left ventricular infarction: an autopsy study.  Am Heart J. 1987 Jan;113(1):16-23.

2. http://www.nejm.org/doi/full/10.1056/NEJMicm030315

RVMI famous review article in NEJM 2 1994

Final message

RVMI   is not an exclusive  complication of Infero -posterior MI.

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