Sandbox:Mitra3

Therapuetic Considerations in RVMI

Reperfusion

Maintenance of RV preload

Decreased RV afterload

Restoring Rate/Rhythm and AV synchrony

Inotropic support

Mechanical Circulatory Support

•Thrmobolytics •Percutaneous coronary intervention (PCI)

• Avoidance of preload reducing agents, such as: ❑Nitrates ❑Diuretics ❑Morphin

• Systemic or pulmonary vasodilators: ❑Inhaled nitric oxide<be>

• In patients with bradyarrhthmias: ❑Atropine ❑Pacemaker

• In patients with refractory hypotension:

May be needed in patients with cardiogenic shock secondary to RVMI

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