PMC10262047_01
The electrocardiogram upon arrival (A) and one week later (B). (A) The red arrow shows ST segments were elevated in leads II, III and avF. The blue arrow shows ST segments were reciprocally depressed in leads I and avL. (B) The black arrow shows pathological Q waves in inferior leads, with ST segment recovery.
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F1
On admission, the electrocardiogram (ECG) showed that ST segments were elevated in leads II, III and avF, with reciprocal depression in leads I and avL (Figure 1A). Subsequently, the ECG showed pathological Q waves in the inferior leads with ST segment recovery (Figure 1B).
The results of coronary angiography. There was 95% stenosis in the right coronary artery (RCA) with a local thrombotic shadow (A), and two drug eluting stents (DES, Firebird 3.0 x 29 mm, Firebird 3.5 x 33 mm) were implanted into the RCA. (B) There was 80% stenosis in the left anterior descending coronary artery (C,D). There was 80%-90% stenosis in the obtuse marginal branch (OM) and 70%-80% stenosis in the distal LCX (d-LCX) (E), and a DES (Promus Element 2.25 x 20 mm) and a drug-coated balloon (Vesselin 3.0 x 16 mm) were implanted in the OM and d-LCX, respectively. (F) PCI, percutaneous coronary intervention.
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F2
The CAG revealed 95% stenosis in the right coronary artery (RCA) with thrombotic shadow locally, 80% stenosis in the left anterior descending coronary artery, 70%-80% stenosis in the distal left circumflex coronary artery (d-LCX), and 80%-90% stenosis in the obtuse marginal branch (OM) (Figures 2A,2C-E). Therefore, thrombus aspiration was performed, and two drug-eluting stents (DES, Firebird 3.0 x 29 mm, Firebird 3.5 x 33 mm) were implanted into the RCA (Figure 2B). Before discharge, a DES (Promus Element 2.25 x 20 mm) and a drug-coated balloon (Vesselin 3.0 x 16 mm) were implanted into the OM and d-LCX, respectively (Figure 2F).
Schematic diagram showing the timeline from vaccination to the onset of AMI up until patient discharge.
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F3
A schematic diagram showing the timeline from vaccination to the onset of AMI up until patient discharge was showed in Figure 3.