Treatment of VSR Post Mi Use vasodilators NTG or nitroprusside to keep MAP 70 to mmhg unless bp below 90 mmhg It decrease L to R shunt and increased systemic flow bcz of Dec SVR Use IABP if no contraindications and tailor vasodilators with hemodynamic monitoring Surgical treatment If correctable don't delay If hemodynamically stable may be postponed 2 to 4 weeks to allow some healing of infarct Surgical mortality is high with basal septal VSR associated with inferior Mi 80% As compared with ante