Abstract
Identifying the infarct-related artery (IRA) in a non-ST-segment-elevation acute myocardial infarction (NSTEMI) can be very challenging, particularly in a hospital that cannot perform intracoronary imaging due to certain limitations. This is because, by angiography, most patients present with multivessel coronary artery disease (CAD), diffuse disease, or non-significant CAD. We present a case of a 60-year-old female patient presented with substernal chest pain and palpitations of 6 hours duration. The first hospital contacts 12-lead electrocardiogram (ECG) showed ventricular tachycardia (VT) with unstable hemodynamics, after stabilization patient was transported to the catheterization laboratory for immediate percutaneous coronary intervention (PCI). With a clue of VT morphology, post-converted ECG, and coronary angiography, the patient successfully underwent PCI in the left circumflex artery.
Recommended Citation
Doni Pradana, Aditya M.D., M.Sc; Damarkusuma, Arditya M.D., M.Med (Clin Epi), FIHA; and Hariawan, Hariadi M.D., FIHA, FINASIM, Dr., FICA, FAsCC, FAPSIC, FSCAI
(2024)
"Stepping into the Light: Defining Culprit Lesion in Non-ST Elevation Myocardial Infarction,"
Journal of the Saudi Heart Association: Vol. 36
:
Iss.
2
, Article 3.
Available at: https://doi.org/10.37616/2212-5043.1377
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