Early inferiority complex

Dr Amal Mattu reminds us of the importance of early detection in inferior MIs.
Inferior wall and right ventricular infarcts are challenging and require vigilance to say the least.
Do also remember:

  • Early recognition in leads which and NOT just in II, III and aVF 
  • ST elevation in III > II means right ventricular infarct 
  • Refrain from GTN due to the drop in preload (use opioids instead)
  • Watch for posteriors as well (ST depression in V2, V3 and tall R wave in V1)

For more of his vids or older cases, go to www.ekg.umem.org

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