distended neck veins

Right Ventricular Infarction was first recognized in a subgroup of patients with inferior wall myocardial infarctions who demonstrated right ventricular failure and elevated right ventricular filling pressures despite relatively normal left ventricular filling pressures. The classical triad of right ventricular infarction includes distended neck veins, clear lung fields, and hypotension. We present a case report of a 48 years old male patient, a known hypertensive for 9 years, a heavy smoker for more than 10 years, also a known Gout patient, who was admitted at Wuhan union hospital department of cardiology, who presented with the chief complain of severe left sided chest pain interfering with his daily activities, which was associated with dizziness and diaphoresis, Blood pressure on admission was 80/50mmHg(hypotension) his heart rate was 99b/min, and clear lung fields on auscultation, clinical and imaging findings suggestive of Right ventricular infarction. Increasing recognition of Right ventricular infarction either in association with left ventricular infarction or as an isolated event, emphasizes the clinical significance of the right ventricle to total cardiac function, thus it is really important to have knowledge on how to diagnose RV infarction and reminding ourselves particularly through case reports because of the therapeutic implications of distinguishing patients with right ventricular dysfunction from those with the more usual clinical presentation of left ventricular dysfunction.