Cardiogenic Shock in Right Ventricular Infarction

  • J. D. Edwards
Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 6)


Right ventricular infarction (RVI) nearly always follows occlusion of the right coronary artery and was first described in post mortem studies [1, 2]. It was shown to be nearly always associated with changes on the surface electrocardiogram (ECG) of acute transmural inferior myocardial infarction [3]. There is good data to suggest that it complicates approximately one third of all cases of inferior myocardial infarction and it has characteristic physical signs and hemodynamic changes [4]. There have been major advances in our knowledge about the pathophysiology and management of cardiogenic shock when it occurs following RVI but it is still very unclear what percentage of patients with RVI go into shock and what proportion of cardiogenic shocks are actually due to RVI. It is still almost certainly underdiagnosed in the majority of institutions. This is unfortunate as the management of shock in association with RVI is different from other form of cardiogenic shocks and with correct management the outcome may be much better.


Cardiogenic Shock Adult Respiratory Distress Syndrome Constrictive Pericarditis Pulmonary Artery Occlusion Pressure Inferior Myocardial Infarction 
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© Springer-Verlag Berlin Heidelberg 1988

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  • J. D. Edwards

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