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Revision as of 17:46, 3 August 2020 by Mitra Chitsazan (talk | contribs)
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Therapuetic Considerations in RVMI
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Reperfusion
 
 
Maintenance of RV preload
 
 
Decreased RV afterload
 
Restoring Rate/Rhythm and AV synchrony
 
Inotropic support
 
 
Mechanical Circulatory Support
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
• Thrmobolysis
• Percutaneous coronary intervention<be>
 
• Avoidance of preload reducing agents, such as:
  • Nitrates
  • Diuretics
  • Morphin
 
 
 
• Systemic or pulmonary vasodilators:
*Inhaled nitric oxide
 
 
 
• In patients with bradyarrhthmias:
Atropine Pacemaker
 
 
 
In patients with refractory hypotension
 
 
 
May be needed in patients with cardiogenic shock secondary to RVMI