Myocardial infarction (MI) is also known as heart attack. Acute myocardial infarction can be diagnosed when there was prolonged chest discomfort, appearance of Q wave in the electrocardiogram. Echocardiography is extremely valuable in assessment of cardiac performance. This study was done in the department of medicine, medical college Jabalpur M.P between the periods of 1992–1993. Total 40 patients (30 male and 10 female) within age group of 31–80 years who have myocardial infarction were selected for this study. The result of this study shows that the Myocardial infarction occurs earlier in male as compared to female, Hypertension was found in about one third and hypercholesterolemia in more than 50% of study population, 80% of males patients were chronic smoker, Anterior wall infarction 25 patients (62%) is the most common type of myocardial infarction followed by combined, inferior, subendocardial wall infarction. In conclusion it can be said that diagnosis of myocardial infarction, established by characteristic history, clinical findings, blood biochemical analysis and electrocardiographic changes, can be correlated with echocardiography.