PMC3714024_01
Electrocardiogram: ECG #1.
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F0001
He was free of pain at the time of initial presentation and denied any pain at rest (Fig. 1).
Electrocardiogram: ECG #2.
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F0002
One hour after reaching the emergency room his pain recurred and he became hypotensive and a second ECG was obtained (Fig. 2).
Angiographic images; 99% LAD stenosis and total circumflex occlusion with collaterals.
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F0003
Cardiac catheterization revealed a 99% stenosis of the left anterior descending and total occlusion of the circumflex, with collaterals supplying the distal circumflex (Fig. 3).
Chronic total occlusion RCA with bridging collaterals.
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F0004
The right coronary artery was totally occluded, with bridging collaterals supplying the distal vessel (Fig. 4).