case_images: PMC11104549_01
case_images: Twelve-lead electrocardiogram showing diffuse ST-segment elevation involving multiple territories and Mobitz type II atrioventricular block
case_images: HV-25-30-g001.jpg
case_images: PMC11104549_01_HV-25-30-g001.jpg
case_images: heartviews.heartviews_39_23-F1
case_images: The patient presented as a case of STEMI with a 12-lead electrocardiogram showing diffuse ST-segment elevation involving multiple territories and Mobitz type II atrioventricular block [Figure 1].
case_images: Coronary angiography. (a) Showing thrombotic 99% mid-right coronary artery (RCA) occlusion and total left anterior descending (LAD)/left circumflex artery (LCX) occlusion, (b) Postpercutaneous coronary intervention to RCA with Drug eluting stent (DES) and Plain old balloon angioplasty (POBA) to LAD, LCX, (c) Relook angiography showed patent RCA tent with mild atherosclerosis in LAD and LCX
case_images: HV-25-30-g002.jpg
case_images: PMC11104549_01_HV-25-30-g002.jpg
case_images: heartviews.heartviews_39_23-F2
case_images: III flow in all culprit vessels [Figure 2a-c]. Intra-aortic balloon pump (IABP) was inserted, and then, he was admitted to CICU (Coronary Intensive Care Unit) where he was found on arrival to be tachycardic heart rate 130 bpm, BP 97/69 mmHg with extremely cold extremities as well as having bilateral crepitations all over the chest. Relook coronary angiography showed a patent RCA stent with mild atherosclerotic disease in LAD and LCX [Figure 2c].
case_images: Trend of urea, creatinine, and lactic acid during the hospital course
case_images: HV-25-30-g003.jpg
case_images: PMC11104549_01_HV-25-30-g003.jpg
case_images: heartviews.heartviews_39_23-F3
case_images: Within 24 h, perfusion improved significantly and the patient produced good urine output and normalization of PH, serum creatinine, urea, and ventilation parameters, as well as lactic acid [Figure 3].