Right ventricular infarction: focus and review

Acute coronary artery disease is a real obsession to any practitioner because of its heavy complications. Right ventricular infarction is a pathological entity distinguished by several diagnostic, therapeutic and prognostic features. These differences can be explained by the anatomical structure of the right ventricle and the physiopathological peculiarities in the occurrence of an infarction. Recent literature has focused on the subject in its details with sometimes inconsistent results. The ECG (18 leads) echocardiography and especially coronary angiography contribute intensively to the diagnosis. Urgent management of ventricular infarction is based on urgent recanalization, maintenance of a good right ventricular pre-load, it tends to reduce the high intra-hospital mortality.