Background: Study of incidence, clinical profile and complications of right ventricular infarction in patients with inferior wall myocardial infarction admitted in VIMS hospital. Methods: It is a cross sectional study done at VIMS, Ballari, with a sample size of 100 cases. Patients who fulfilled the inclusion criteria are assessed as per proforma specifically designed for the study. Results: Out of 100 participants with IWMI, 40 of them had RVI. Most of the cases (42.8%) of RVI occurred in the age group of 41-50 years in the RVI group. Out of 100 participants, majority (80%) were male. Only 20% were female. Incidence of risk factors was more among IWMI with RVI than IWMI without RVI and most common risk factor was smoking. Out of 40 patients diagnosed with IWMI with RVI, all presented with chest pain, 16 patients had bradycardia,4 patients presented with shock. Among patients with IWMI with RVI – 6 patients died and among IWMI without RVI, 2 patients died. Conclusion: RVI can occur among people with IWMI in almost one-third of the cases. Identifying risk factors and preventing further progression of disease plays vital role in managing patients with cardiac diseases. Hence risk stratification plays major role in reducing mortality and morbidity associated with MI. One such factor is involvement of right ventricle, that increases the complication rate as well as mortality among patients with inferior wall myocardial infarction.