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a patient presents to your emergency department complaining of chest pain he is a 52 year old male with a history of hypertension diabetes and hypercholesterolemia he reports abrupt onset crushing pain to his mid chest radiating into his left shoulder he also reports shortness of breath dizziness nausea and vomiting his vital signs are pulse 90 blood pressure 160 over 80 you suspect he is having an mi so you obtain an EKG since you already watched the lecture on identifying stem ease you correctly interpret this EKG as an inferior wall ST elevation mi you give the patient nitroglycerin to try to dilate his coronary arteries and relieve his pain shortly thereafter the patient becomes pale and diaphoretic his repeat blood pressure is 80 over 50 what happened the answer is a right ventricular mi inferior wall mi s are sometimes associated with infarction of the right ventricular wall as well lets take a look at right ventricular Mis and lets see if we can get a better understanding of w
