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What do you know about right ventricular infarction ?

What do you know about right ventricular infarction ? 

Right ventricular infarction presents with retrosternal chest discomfort, nausea, vomiting and diaphoresis, unlike left ventricular infarction which presents with dyspnoea.

On examination in right ventricular infarction, there is a raised jugular venous pressure with no evidence of pulmonary congestion; the patient often has a Iow cardiac output with hypotension. The patient typically presents with ST elevation in the inferior leads (II, III and aVF) and in one or more right-sided leads, particularly V4R. The cornerstones of therapy include restoration of infarct artery patency, intravascular volume expansion and inotropic support.

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