PMC4008403_01
Initial ECG on presentation showing ST-segment elevation in leads V2 to V4, II, III, and aVF.
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fig1
The initial electrocardiogram (ECG) revealed a normal sinus rhythm and ST-segment elevation in leads V2 to V4, II, III, and aVF (Figure 1).
(a) Coronary angiography showing nonobstructing 30% stenosis of right coronary artery with otherwise normal coronary arteries. (b) Transthoracic echocardiogram showing anteroapical and infra-apical wall hypokinesis with ejection fraction of 20%.
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fig2
Cardiac angiography demonstrated a proximal 30% nonobstructive tubular stenosis of the right coronary artery, but otherwise normal coronary arteries (Figure 2(a)). Anteroapical and infra-apical wall hypokinesis with an ejection fraction of 20% was noted on repeat echocardiogram (Figure 2(b)).
ECG on the third day of admission shows diffuse convex ST-segment elevations in leads V1 to V6, II, III, and aVF.
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fig3
On the third day of admission, a repeat ECG showed new diffuse convex ST-segment elevations in leads V1 to V6, II, III, and aVF (Figure 3).