PMC4379639_01
12 lead electrocardiogram (ECG) of the patient at the time of presentation. ECG showing T wave inversion in precordial leads from V1 to V6. There is no shift of ST segments
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F1
An electrocardiogram (ECG) was taken and it showed sinus rhythm with symmetrical T wave inversions in leads V1 to V6. [Figure 1] Cardiac troponin I which was 0.62 ng/ml (normal < 0.04ng/mL) at presentation peaked to 6.38 ng/mL subsequently normalized after 1 week suggestive of MI.
Coronary angiogram in the left anterior oblique caudal view showing eccentric narrowing the proximal left anterior descending coronary artery with 75% stenosis
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F2
Coronary angiogram showing successful result of angioplasty and stenting to proximal left anterior descending coronary artery
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F3
She has undergone angioplasty and stenting to LAD with good result. [Figure 3] She remained pain free after the procedure. Serial ECGs showed normalization of the anterior wall ischemic changes [Figure 4] and normalization of the left ventricular function on follow up.
12-lead ECG showing normalization of the ischemic changes on follow up
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F4
She has undergone angioplasty and stenting to LAD with good result. [Figure 3] She remained pain free after the procedure. Serial ECGs showed normalization of the anterior wall ischemic changes [Figure 4] and normalization of the left ventricular function on follow up.