Acute Coronary Syndrome

Autor: Antonio Bayés de Luna, Miguel Fiol-Sala
Rok vydání: 2017
Předmět:
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