Friday, 10 December 2010

Conclusion to 43 year old female CC: Chest pain - Angiograms

Here is the conclusion to 43 year old female CC: Chest pain.

Let's take another look at her 12-lead ECG.

This patient experienced cardiac arrest on arrival in the emergency department.

She was defibrillated while still on the EMS gurney, stabilized, and then transferred to the cardiac catheterization lab.

Here we see a proximal occlusion of the right coronary artery (RCA). Those of you who suspected right ventricular infarction in addition to acute inferior STEMI were exactly correct.

Here we see the wire crossing the lesion.

Balloon inflation.

More balloon inflation.

Blood flow restored.

The patient was admitted to the ICU and discharged three days later.

Diagnosis: ST-elevation myocardial infarction