case_images: PMC11089942_01
case_images: Standard 12-lead electrocardiogram, showing ST segment elevation of 2 mm in in III, AVF and ST segment depressions in V1-V6, 1 and AVL (reciprocal changes).
case_images: 10.1177_2050313X241253741-fig1.jpg
case_images: PMC11089942_01_10.1177_2050313X241253741-fig1.jpg
case_images: fig1-2050313X241253741
case_images: A diagnosis of acute inferior wall ST-segment elevation myocardial infarction (STEMI) was made (Figure 1).
case_images: Post-SK electrocardiogram done at 30 min interval after streptokinase infusion, showing successful resolution of ST segment elevations and reciprocal changes.
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case_images: PMC11089942_01_10.1177_2050313X241253741-fig2.jpg
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case_images: After obtaining consent and ruling out any contraindications, the patient was thrombolyzed with 1.5 million units of streptokinase IV over the course of an hour using an infusion pump. This was done because the cardiac catheterization lab and primary percutaneous intervention (PCI) facility were not available, and transfer to the closest facility was not possible within the 120-min interval. After thrombolysis, the patient's chest pain and ST elevations subsided, as shown in the post-streptokinase electrocardiogram at 30-min intervals (Figure 2).
case_images: CT angiogram of the patient showing normal left coronary artery, left circumflex artery, and right coronary artery.
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case_images: PMC11089942_01_10.1177_2050313X241253741-fig3.jpg
case_images: fig3-2050313X241253741
case_images: A CT coronary angiography conducted 2 weeks later revealed healthy coronary arteries (Figure 3).