PMC6008903_01
Electrocardiogram of patient 1 in sinus rhythm showing an isolated T-wave inversion and poor R amplitude in lead III.
cvja-29-e9-g001.jpg
PMC6008903_01_cvja-29-e9-g001.jpg
F1
The clinical examination was unremarkable and her initial transthoracic electrocardiogram revealed sinus rhythm with poor R-wave amplitude in lead III and T-wave inversion in leads III and V1 (Fig. 1).
Electrocardiogram of patient 2 showing sinus rhythm, poor R amplitude and T-wave inversions globally, with a left-axis deviation.
cvja-29-e9-g002.jpg
PMC6008903_01_cvja-29-e9-g002.jpg
F2
Her initial electrocardiogram revealed poor R amplitude and T-wave inversion globally, and Q waves in the inferolateral leads (Fig. 2).
Electrocardiogram of patient 3 at least 24 hours after the myocardial infarction, in sinus rhythm with Q waves in leads V1-V2 (poor R-wave amplitude in leads V1-V3).
cvja-29-e9-g003.jpg
PMC6008903_01_cvja-29-e9-g003.jpg
F3
A repeat electrocardiogram on arrival at our tertiary hospital, which was at least 24 hours later, revealed sinus rhythm with evidence of a recent extensive antero-septal myocardial infarction (Fig. 3).
Chest X-ray of patient 3 showing a mildly increased cardiothoracic ratio and clear lung fields.
cvja-29-e9-g004.jpg
PMC6008903_01_cvja-29-e9-g004.jpg
F4
Her chest X-ray is shown in Fig. 4.
Patient 3. (A-C) Coronary angiogram showing the sub-totally occluded left anterior descending coronary artery (LAD, indicated by the white arrows). (D) Improved flow post-PCI and stenting to the proximal LAD with TIMI 3 flow to the distal vessel (white arrow).
cvja-29-e10-g005.jpg
PMC6008903_01_cvja-29-e10-g005.jpg
F5
Coronary angiography revealed a sub-totally occluded LAD (Fig. 5). Percutaneous revascularisation was performed where a baremetal stent was successfully deployed with no peri-procedural complications (Fig. 5).