PMC10167818_01
Electrocardiogram on arrival at 80 min (upper) and transcutaneous coronary angiography at 140 min (lower) from the first call. The electrocardiogram showed ST elevation at II, III, and AVF leads with complete atrioventricular block. Transcutaneous coronary angiography on arrival showed obstruction of the middle segment of the right coronary artery (arrow). AVF: Arteriovenous fistula
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An electrocardiogram showed ST elevation at the II, III, and arteriovenous fistula leads with complete atrioventricular block [Figure 1]. He underwent urgent transcutaneous coronary angiography, which showed obstruction of the middle segment of the right coronary artery and severe stenosis of the left anterior descending (LAD) artery [Figure 1].
Chest roentgen on arrival at 90 min from the first call. Chest roentgen showed bilateral butterfly shadow in the lung fields
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Chest roentgen showed bilateral butterfly shadow in the lung fields [Figure 2].
Head computed tomography (CT) on arrival at 100 min (upper) and on the 2nd hospital day at 17 h (lower) from the first call. CT showed a dense middle cerebral artery sign (arrow) and loss of cortical ribbon in the left temporal lobe (triangles). However, these minute signs were initially overlooked. The second CT showed diffuse low-density areas in the bilateral frontal lobe and left temporoparietal lobes with left-to. CT: Computed tomography
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Head computed tomography (CT) showed dense middle cerebral artery sign and loss of cortical ribbon in the left temporal lobe [Figure 3]. Repeated head CT showed diffuse low-density areas in the bilateral frontal lobe and left temporoparietal lobes with left-to-right midline shift [Figure 3].