Right Versus Left Ventricular Myocardial Infarctions

Outline:

Section 1: Introduction

About This Course

Learning Objectives

Meet Patient Louisa

Interesting Facts

Section 2: Coronary Anatomy and Types of MIs

Coronary Artery Anatomy

Types of MI

Section 3: ACS and ECG Overview

ACS

What is the Difference Between NSTEMI and a STEMI?

Ischemia, Injury, and Infarction

12-Lead ECG

Louisa Review

Section 4: Assessment Findings and Additional Diagnostic Testing

Assessment Findings

Clinical Presentation

RVMI

LAD MI

Cardiogenic Shock

Cardiac Biomarkers

Additional Testing

Louisa Review

Section 5: Diverse Groups and Risk Assessment Tools

Diverse Groups

Risk Calculation

Section 6: Treatment Recommendations for Pre-Hospital and Hospital Setting

General Treatment Guidelines

Pre-Hospital Emergency Medical Responders (EMS) Treatment

Hospital Treatment General Guidelines

Dual Antiplatelet Therapy

Section 7: Treatments Specific to RVMI and LAD MI with LV Dysfunction

Treatments for RVMI

Treatments for LAD Occlusions

Monitoring for General Complications

Section 8: Pharmacology and Cardiac Device Management

Inotropes and Vasopressors

Intra-Aortic Balloon Pump (IABP)

Post-MI Medications and Management

Louisa's Outcome

Section 9: Clinical Vignette

Meet Patient Susan

Section 10: Conclusion

Course Summary

Course Contributor

References

Zeliha has extensive experience in critical care nursing in acute care hospitals, including cardiac intensive care (CICU) and medical intensive care units (MICU). She has served in various roles, including educator, preceptor, charge nurse, and advanced critical care life support (ACLS) instructor. She has extensive experience as a code nurse for a 900-bed hospital. Zeliha has been a lung transplant coordinator for around five years and was responsible for pre-transplant care, waitlist management, and post-lung transplant care. Zeliha has worked on cutting-edge transplant organ procurement initiatives such as Ex-Vivo Lung Perfusion (EVLP) and has managed patients in a hospital that performs around 100 transplants annually. Additionally, Zeliha has served as quality chair council for the heart and vascular services and has worked on several quality initiatives for the service line, such as infection control, cardiac education, nursing resiliency, and nursing onboarding. She has served on various leadership councils in the CICU. She earned a Bachelor of Science in Nursing from Saint John University in Rochester, New York. She has a Master of Science in Nursing and a Master’s in Clinical Nurse Leadership (CNL) from Queens University in Charlotte, North Carolina. She is also certified as a Critical Care Nurse (CCRN).