Left Main Trunk: Normal and patent
Left Anterior Descending Artery: Medium size. Mid LAD 50-60% stenosis at the take-off of D2. D1 is medium size and has ostial 50-60% stenosis. D2 is medium size and patent.
Left Circumflex Artery: Patent, OMB1 and OMB2 are small and patent.
Right Coronary Artery: Large, dominant. Mid 50-60% stenosis. R PDA and R PLA are large and patent.
PCI: No stents placed
This was a presumed new LBBB, which in conjunction with active CP is often considered a STEMI. This patient’s cath showed no significant occlusions.
Acute MI in the setting of LBBB or a paced rhythm can be difficult to diagnose. The Sgarbossa Criteria may help, information can be found HERE.