Relevant clinical history and physical exam
26.01.16. 64 years-old man presented to emergency department with burning, pressure like 8/10 pain, radiating to left shoulder, started 2 hours ago. His past medical history significant for previous hospitalization 21.12.15 with ischemic heart disease, stable angina, atrial flutter.
Patient was taking aspirin 100 mg/day, metoprolol 50 mg b.i.d, atorvastatin 40 mg/day, spironolactone 25 mg/day, warfarin 5 mg/day.
Relevant test results prior to catheterization
ECG revealed ST elevation at II, III, AVF leads.
Cardiac troponins were positive.
Transthoracic echocardiography - left atrial thrombi.
22.12.15 Coronarography found intact coronary arteries.
Relevant catheterization findings
Coronarography through 6F radial sheath found distal LAD occlusion with round perfusion defect, RCA occlusion at distal third.