case_images: PMC5325916_01
case_images: Electrocardiogram on arrival
case_images: emerg-5-e45-g001.jpg
case_images: PMC5325916_01_emerg-5-e45-g001.jpg
case_images: F1
case_images: Electrocardiography (ECG) on admission revealed old silent inferolateral myocardial infarction (MI) that showed in figure 1.Intravenous nitroglycerin and regular insulin were administered for controlling high blood pressure and hyperglycemia and he was admitted in intensive care unit (ICU).
case_images: Electrocardiogram 12 hours after admission
case_images: emerg-5-e45-g002.jpg
case_images: PMC5325916_01_emerg-5-e45-g002.jpg
case_images: F2
case_images: After a while, his blood pressure reached to 200/150mmHg and dynamic changes were occurred on the ECG as revealed in figure 2, that illustrate an acute inferior myocardial infarction associated with positive troponin-I level.