PMC6815559_01
Electrocardiogram performed on patient arrival demonstrating ST-elevation in leads V3-V4.
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An electrocardiogram performed on arrival demonstrated an anterolateral STEMI (Figure 1).
Echocardiogram demonstrating a vegetation measuring 1.8 cm x 1.3 cm.
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Echocardiogram revealed anterior wall motion abnormalities and an aortic valve vegetation that filled more than half of the left ventricular outflow tract measuring 1.8 by 1.3 centimeters (Figures 2 and 3).
Echocardiogram demonstrating a vegetation proximal to the left aortic cusp (a) and the vegetation mobilizing toward the left coronary artery origination anastomosis upon valve opening (b).
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Echocardiogram revealed anterior wall motion abnormalities and an aortic valve vegetation that filled more than half of the left ventricular outflow tract measuring 1.8 by 1.3 centimeters (Figures 2 and 3).
Electrocardiogram performed five hours after first electrocardiogram (Figure 1) demonstrating ST-elevation in leads II, III, and AVF.
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A repeat electrocardiogram five hours later as the patient became more hypotensive revealed evolution of anterior MI with diffuse Q waves and an inferior lead STEMI (Figure 4).