STEMI-89

Published: August 13th, 2016

Category: STEMI

Pre-hospital ECG

IMG_5557

 

Emergency Department ECG

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  • 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.

Ramus Intermedius:

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