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ECG on admission: ST-segment elevation in leads II, III, and aVF, with a tendency to bradycardia.
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He had bradycardia at admission, and electrocardiography (ECG) showed ST-segment elevation in leads II, III, and aVF (Figure 1).
Coronary angiography showing complete occlusion of the right coronary artery (arrow), and revascularization was achieved by catheterization. (A) Coronary artery before treatment. (B) Coronary artery after treatment
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The right coronary artery was obstructed, and catheterization was performed (Figure 2).
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Preoperative computed tomography showing pericardial effusion. There is no evidence of dissection in the ascending aorta.
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C-reactive protein (CRP) level of 30.18 mg/ml and a white blood cell count of 3600/mul. Computed tomography (CT) also showed pericardial effusion (Figure 3), and cardiac rupture after myocardial infarction was suspected.
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