PMC7492974_01
ECG showing ST elevation in the anterior leads while the patient was experiencing chest pain.
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fig1
During his stay in the ward, he had further chest pain and ST elevation (Figure 1) in the anterior leads which self-resolved.
Coronary angiogram illustrating spasm in the LAD.
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During the angiogram, the LAD went into coronary spasm (Figure 2) which was associated with further chest pain and ST elevation, which resolved once IV nitrates were administrated through the coronary catheter (Figure 3).
After administration of IV nitrates and resolution of the narrowing in the LAD.
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During the angiogram, the LAD went into coronary spasm (Figure 2) which was associated with further chest pain and ST elevation, which resolved once IV nitrates were administrated through the coronary catheter (Figure 3).
Ventricular fibrillation.
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Each episode of VF was preceded by both chest pain and significant ST elevation in anterior leads before descending into VF (Figure 4), which was terminated by prompt DCCV.