PMC9533805_01
Rhythm strip showing ventricular fibrillation.
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Patient subsequently went into sustained ventricular fibrillation (Fig. 1) and was defibrillated three times.
ECG with anterolateral and inferior ST segment elevation.
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After return of spontaneous circulation ECG showed ST segment elevations in anterolateral and inferior leads (Fig. 2).
A: Type 2A SCAD coronary angiography showing abrupt narrowing of the LAD with distal widening of the artery. B: Type 2A SCAD coronary angiography showing abrupt narrowing of the LAD with distal widening of the artery.
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She underwent emergent cardiac catheterization that showed probable SCAD of the mid to distal LAD (left anterior descending artery) (Fig. 3).
PMC9533805_02
ECG ST segment elevations most pronounced in inferior leads also with anterolateral ST segment elevations.
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ECG showed ST segment elevation in inferior and anterolateral leads (Fig. 4).
Type 2A SCAD coronary angiography showing abrupt narrowing of the LAD with distal widening of the artery.
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The left circumflex and right coronary artery were free of disease (Fig. 5).