STEMI-54

Pre-hospital ECG

Emergency Department ECG

• Field STEMI cancelled by interventional
• Initial troponin negative
• Repeat troponin positive and patient went to cath lab

Cardiac Cath Report

LMCA: Long and angiographically normal.

LAD: Large-sized, transapical vessel with long 75% stenosis in the mid segment followed by MLI. The LAD gives off small-sized, patent D1-D3 vessels.

LCX: Large-sized, tortuous, co-dominant vessel that has a trifurcating OMB with MLI.

RCA: Large-sized, co-dominant vessel with MLI.