Publication

Right ventricular infarction in the pre-hospital setting: A hidden complication

Taylor, Samantha
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Keyword
Ventricular Dysfunction
 Electrocardiogram (ECG)
 Myocardial Infarction
 Pre-hospital Care
 Cardiac Arrest
Journal Title
Journal of Paramedic Practice
Book Title
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Publication End Page
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Publications - London Ambulance Service
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URI
http://hdl.handle.net/20.500.12417/768
DOI
10.12968/jpar.2012.4.12.693
Abstract
Abstract published with permission. Right ventricular infarction (RVI) can occur in isolation but is more commonly associated with inferior myocardial infarction (IMI). It has a higher mortality rate compared to isolated left ventricular infarction and often presents with complications. Early recognition of RVI in paramedic practice is key to decreasing patient mortality. This article focuses on RVI within the pre-hospital environment. Particular emphasis is placed on right precordial electrocardiogram (ECG) lead placement, judicious administration of intravenous fluids in the hypotensive patient, and specific complications associated with vasodilatory drugs in RVI.
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