PMC5358128_01
Initial presenting electrocardiogram: sinus rhythm with premature atrial and ventricular contractions, ST Elevation and Q waves in II, III, and aVF and tall R wave in V2 consistent with infero-post wall MI, STEMI.
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F1
The electrocardiogram (ECG) (Fig. 1) revealed sinus rhythm with premature atrial and ventricular contractions, ST Elevation and Q waves in II, III, and aVF and tall R wave in V2 consistent with infero-post wall MI, STEMI.
Follow-up electrocardiogram with formation of Q waves and normalization of the ST-T changes.
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F2
Subsequent ECGs (Fig. 2) showed formation of Q waves and normalization of the ST-T changes, decision was made to medically treat the patient for the STEMI and plan for cardiac angiography since the patient was chest pain free.
Right coronary artery (RCA) pre-intervention revealing 90% occlusion of the mid RCA with thrombus formation.
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F3
The patient later underwent diagnostic coronary angiography via radial approach which revealed a 90% occlusion of the mid right coronary artery (RCA) with a TIMI 1 antegrade flow as well as thrombus formation (Fig. 3).
Right coronary artery (RCA) after bare metal implantation in the mid RCA.
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F4
The procedure was successfully concluded and final flow was TIMI 3 (Fig. 4).