PMC6276522_01
Subsequent EKG.
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fig1
ST elevations in leads I, aVL, V5, and V6 with ST depressions in leads III, aVF, and V1-V3 consistent with a lateral wall evolving myocardial infarction (Figure 1). She was transferred urgently to our institution for cardiac catheterization.
(a) Left ventriculogram: diastole and (b) left ventriculogram: systole.
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fig2
LAD revealed a minimal lumen area of 5.2mm2, and no ruptured plaques. Left ventriculogram revealed a left ventricular ejection fraction (LVEF) of 20% and severe mid-cavitary hypokinesis with basal and apical hyperkinesis (Figures 2(a) and 2(b)).