Right-ventricular infarction

Educational use only. Not clinically reviewed

66-year-old man for RV-infarction reassessment in a PCI-capable cardiac unit. About 8 simulated minutes.

What you will practise

Reconcile the acute inferior-STEMI trajectory with current pressure, perfusion, oxygenation, rhythm, and congestion before choosing a hemodynamic frame.
Review the fixed right-sided ECG and echocardiographic reports as an acute ischemic RV phenotype without claiming test acquisition or one-sign diagnostic certainty.
Keep the activated primary-PCI pathway and rhythm, conduction, and defibrillation readiness active while the RV phenotype is reviewed.
Record patient-specific RV-support guardrails without a nitrate, diuretic, fixed-fluid, universal-target, or drug-delivery recipe.
After elapsed reassessment, hand off unresolved ischemia, perfusion, rhythm, conduction, mechanical, reperfusion, and treatment-selection work.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

Rao SV, O’Donoghue ML, Ruel M, et al. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes. Circulation. 2025;151:e771-e862. PMID:40014670. doi:10.1161/CIR.0000000000001309.
Konstam MA, Kiernan MS, Bernstein D, et al. Evaluation and Management of Right-Sided Heart Failure: A Scientific Statement From the American Heart Association. Circulation. 2018;137:e578-e622. doi:10.1161/CIR.0000000000000560.

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.