This study was undertaken to know the prevalence rate and assessed the immediate outcome of combined inferior with right ventricular infarction RV. Only 204 patients were included in the study wherein they were group into I- Inferior alone 158 (77%), II- combine Inferior with RV Infarction 46 patients (22%. Major complication noted were 3° AV Block group I 11(6.7%) group II 14(30.4%) p value 0.000, hypotension 9(5.2%) and 10.7% with a p value of 0.002; shock 7(4.4%) and 14(30.4%) Acute Renal failure 1(0.63%) and 4(8.7%) with a p value of 0.010 respectively. Group II were further subdivided into survivor and non-survivor group. Baseline characteristics between the two group were similar except for there Killip classification, with the p value= 0.000; previous MI survivor 1(4.50 non-survivor 4(28.5%) with p value= 0.025. Non-survivor group had a higher incidence of shock 9(64.35) compared with survivor group 5(22.7%) p value = 0.032; MI extension was likewise noted only on non-survivor group 3(21.4%) p value=0.005. it is onset of complication which highly predicts outcome wherein non-survivor group 6(27.7%) survivor group 10(71.43%0 p value 0.024. Outcome of interventions among the two groups where statistically not significant even thrombolytic therapy was used.
Combined Inferior wall with RV Infarction carries a high mortality rate that requires urgent intervention before complications arises, specifically with in the period of 24 hours for whom t majority of the patients succumbed.