case_images: PMC10787137_01
case_images: PMC10787137_02
case_images: timeline of the current episode from admission to management
case_images: PAMJ-46-58-g001.jpg
case_images: PMC10787137_02_PAMJ-46-58-g001.jpg
case_images: F1
case_images: patient's 18-leads electrocardiogram: a regular sinus rhythm with an upward shift of the TP segment, with thin QRS complex and a dome-shaped ST-segment elevation in leads: DI DII DIII AVF V2 V3 V4 V5 V6 V7 V8 V9, and ST segment depression in AVR and V1; with a prolonged QT interval corrected QT (Bazett) at 516 milliseconds
case_images: PAMJ-46-58-g002.jpg
case_images: PMC10787137_02_PAMJ-46-58-g002.jpg
case_images: F2
case_images: Diagnostic assessment: upon admission, a routine electrocardiogram revealed a diffuse ST-segment elevation and a prolonged QT interval [corrected QT (Bazett) = 516 milliseconds] (Figure 2 and Figure 3).
case_images: enlargement of the electrocardiogram showing the resemblance of the electrocardiogram pattern to the German spiked helmet from the 19th century known as "Picklehauben"
case_images: PAMJ-46-58-g003.jpg
case_images: PMC10787137_02_PAMJ-46-58-g003.jpg
case_images: F3
case_images: Diagnostic assessment: upon admission, a routine electrocardiogram revealed a diffuse ST-segment elevation and a prolonged QT interval [corrected QT (Bazett) = 516 milliseconds] (Figure 2 and Figure 3).
case_images: patient's coronary angiogram: normal-sized left main coronary artery with mild calcification and no significant lesion; the left anterior descending coronary artery presented multiple staged intermediate lesions and significant stenosis involving the ostial and proximal segments of the circumflex artery
case_images: PAMJ-46-58-g004.jpg
case_images: PMC10787137_02_PAMJ-46-58-g004.jpg
case_images: F4
case_images: A significant stenosis involved the ostial and proximal circumflex artery (Figure 4).