PMC5902090_01
EKG showing ST segment depressions in inferolateral leads.
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fig1
ST depression in the inferolateral leads, suggestive of ischemia (Figure 1). She was started on ACS protocol with aspirin, clopidogrel, and unfractionated heparin drip.
(a) 95% stenosis of the right coronary artery (RCA). (b) 95% infrarenal aortic stenosis with collateral circulation.
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fig2
Due to this finding, a peripheral CT angiogram was done for further evaluation of the arterial system which showed severe peripheral arterial disease including total occlusion of both common iliac arteries and 95% infrarenal aortic stenosis with collateral circulation (Figures 2(a) and 2(b)).