Cardiac Cath Report
LM– Normal caliber, no angiographis stenosis
LAD– Normal caliber, transapical, ostial mild disease up to 20%, mid filling defect likely thrombus with 99% stenosis, distal vessel patent. D1 normal caliber, patent
LCx– Normal caliber, proximal vessel has no angiographic stenosis, OM 1 is branching vessel, large and patent. Ramus is large and patent
RCA– Normal caliber, dorminant, no angiographic stenosis in proximal, mid and distal vessel
Successful stent placement to mid LAD
- Carries the worst prognosis of all infarct locations, mostly due to larger infarct size
- ECG findings in V1-V3
- ST segment elevation with Q wave formation in the precordial leads (V1-6) ± the high lateral leads (I and aVL)
- Precordial leads
- Septal leads = V1-2
- Anterior leads = V3-4
- Lateral leads = V5-6
- Site of LAD occlusion (proximal versus distal) predicts both infarct size and prognosis.
- Proximal LAD / LMCA occlusion has a significantly worse prognosis due to larger infarct size and more severe hemodynamic disturbance.