Treatment of acute right ventricular myocardial infarction

For patients with acute right ventricular myocardial infarction, coronary intervention is also primarily indicated. If coronary intervention is not possible for patients, coronary artery bypass grafting is also an option, but relatively speaking, it does differ from the treatment of patients with left ventricular myocardial infarction. For patients with right ventricular myocardial infarction, such patients may develop hypotension, and in this case it is combined with volume expansion therapy. If the hypotension is not corrected even after the patient has combined the input of 1-2 liters of fluid volume, this is the time to initiate positive inotropic drugs to assist in the treatment. The most preferred positive inotropic drug is dobutamine, and it is best not to use diuretics at this time. If atrioventricular block is present, a temporary pacemaker can be installed if necessary.