Diagnosis

Right ventricular infarction should be suspected in all cases of inferior infarction and identified because its treatment is substantially different. The triad of hypotension, clear lungs, and jugular engorgement is highly specific but only 25% sensitive. Jugular engorgement alone has a sensitivity of 88% with specificity of 69%. Kussmaul’s sign is highly sensitive and specific. Other clinical signs may include right ventricular gallop and tricuspid regurgitation.

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