PMC5036768_01
Electrocardiogram showing normal sinus rhythm and occasional premature ventricular complexes, right bundle branch block, and ST-segment depressions of 0.5-1 mm in leads V4-V6.
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Electrocardiogram (ECG) on presentation revealed normal sinus rhythm with occasional premature ventricular contractions, right bundle branch block, and subtle ST-segment depressions in lateral leads (Figure 1).
Cardiac catheterization, right anterior oblique projection with 25 degrees of caudal angulation; showing 100% left anterior descending occlusion, 90% occlusion of the circumflex, and 95% occlusion of the obtuse marginals 1 and 2.
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Cardiac catheterization revealed critical multivessel CAD (Figure 2). There was 100% occlusion of the right coronary artery, 100% occlusion of the left anterior descending, 90% occlusion of the circumflex, and 95% occlusion of the obtuse marginals (one and two) with inferior wall akinesis (Figure 2).