%0 Article
%A Zagitov, I.G., 
%A Plechev, V.V., 
%A Nikolaeva, I.E., 
%A Buzaev, I.V., 
%T 
%D 2016
%R 10.1016/j.jacc.2016.03.227
%X 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.
%U https://repo.bashgmu.ru/publication/1040