Right ventricular myocardial infarction physical examination

• Patients with hemodynamically significant right ventricular infarction typically present with:
  • Hypotension
  • Jugular vein distention
  • Shock
  • Clear lung fields
  • Valvular insufficiency can also occur, leading to tricuspid regurgitation.
  • These findings are in contrast to the frequent pulmonary congestion, third or fourth heart sounds, and mitral regurgitation with left ventricular infarcts.

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