PMC3350175_01
Electrocardiogram on day of chest pain onset: sinus tachycardia with no ST segment changes.
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fig1
His electrocardiogram showed sinus tachycardia without ST segment changes (Figure 1).
Coronary artery ectasia. Right coronary artery diameter measuring 6 mm (a) and left coronary artery diameter measuring 5 mm (b).
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A transthoracic echocardiogram revealed mild to moderate dilated left ventricle, mild left ventricular systolic dysfunction with an ejection fraction (EF) of 48%, and bilateral coronary artery ectasia (Figure 2).
Cardiac enzymes trend on and off Asacol.
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fig3
Asacol was made on hospital day thirty, since it was thought to be the most likely etiology of his symptoms. After Asacol discontinuation, his chest pain resolved and his troponins were noted to trend towards normal (Figure 3).
Electrocardiogram 6 hours off Asacol: normal sinus rhythm and nonspecific ST changes.
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Asacol showed normal sinus rhythm with nonspecific ST segment changes in the inferior leads (Figure 4).
Electrocardiogram 7 days off Asacol: normal sinus rhythm and T wave inversion lead III.
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He was seen on followup after a week of Asacol discontinuation, and his electrocardiogram showed normal sinus rhythm with T wave inversion in lead III (Figure 5).