Emergency Department ECG
- Patient not field activated, did not meet field criteria
- ECG on arrival concerning for posterior MI
- Posterior ECG without ST Elevation
- Taken to urgent cath for ECG findings
Cardiac Cath Report
LMCA: Normal caliber vessel that is angiographically normal.
LAD: Large-sized, transapical vessel with ostial 30% stenosis, proximal 30% stenosis followed by MLI. The LAD gives off a large-sized D1 vessel with ostial 30% stenosis followed by 80% proximal stenosis and then mid-segment occlusion.
LCX: Small-sized, patent, nondominant vessel that gives off a small-sized, patent OM1 and a large-sized, patent, bifurcating OM2 vessel.
RCA: Large-sized, dominant vessel with diffuse disease but up to 50% mid-segment stenosis. The PDA has 50% distal stenosis. PLA is patent.
Stent placed to mid Ramus intermedius