Case 2:

63-year old woman presented with central chest pain of two hours duration. On examination her blood pressure was 90/60 mm Hg, she had a weak pulse, distended neck veins with elevated jugular venous pressure, normal first and second heart sounds and lung fields were clear on auscultation.

Ragavendra R. Baliga, M.D
Assistant Professor
Division of Cardiology
University Of Michigan

 

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Question 3 of 17:

The clinical triad of hypotension, elevated jugular venous pressure and clear lungs in patients with inferior wall MI is characteristic of right ventricular ischemia.

 

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The clinical triad of hypotension, clear lung fields and elevated jugular venous pressure in the setting of an inferior MI is characteristic of right ventricular ischemia. Although this triad is specific it has sensitivity of less than 25% (1).

Reference:

1. Dell'Italia LJ, Starling MR, O'rourke RA. Physical examination for exclusion of hemodynamically important right ventricular infarction. Ann Intern Med 1983;99:608-611.
 
 
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