Publication date: 2016

DOI: 10.1016/j.jacc.2016.03.227

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. INR 1,41. 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.

Тип: Article