Acute Coronary Syndrome
Autor: | Antonio Bayés de Luna, Miguel Fiol-Sala |
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Rok vydání: | 2017 |
Předmět: |
Acute coronary syndrome
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Percutaneous coronary intervention 030204 cardiovascular system & hematology Anterior Descending Coronary Artery Chest pain medicine.disease Coronary artery disease 03 medical and health sciences 0302 clinical medicine Physiology (medical) Internal medicine Occlusion medicine Cardiology cardiovascular diseases 030212 general & internal medicine Myocardial infarction medicine.symptom Cardiology and Cardiovascular Medicine business Electrocardiography |
Zdroj: | Circulation. 136:691-693 |
ISSN: | 1524-4539 0009-7322 |
DOI: | 10.1161/circulationaha.117.028832 |
Popis: | The patient is a 55-year-old woman with risk factors for coronary artery disease, including arterial hypertension, smoking, high cholesterol, and a strong family history, who presented to the emergency room with 2 days of intermittent chest pain, which now has been persistent for >2 hours. The ECG recorded is shown in Figure 1. The patient was immediately transferred to the catheterization laboratory for coronary angiography and percutaneous coronary intervention. According to the ECG information, what is the affected artery, where is the occlusion located, and how important is the myocardial mass involved? Figure 1. ECG of ST-segment–elevation myocardial infarction caused by proximal left anterior descending coronary artery occlusion. Please turn the page to read the diagnosis. This ECG shows the typical findings seen in ST-segment–elevation myocardial infarction caused by proximal left anterior descending coronary artery (LAD) occlusion located before the first diagonal (D1) and first septal (S1) branches.1–3 The coronary angiogram confirmed the … |
Databáze: | OpenAIRE |
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