Myocardial infarction; signs are all except

Kussmaul sign is a paradoxical rise in jugular venous pressure (JVP) on inspiration, or a failure in the appropriate fall of the JVP with inspiration Levine's sign is a clenched fist held over the chest to describe ischemic chest pain Bradycardia, in case of ischaemia of inferior part of the heart. Tachycardia, in case of ischaemia of anterior portion of heart.