case_images: PMC11754239_01
case_images: Coronary angiography. (A) Stenosis of 95% in the proximal LAD, with blurred lesion margins. (B) Stenosis of 75% in the middle RCA, with a regular lesion margin. LAD, left anterior descending artery; RCA, right coronary artery.
case_images: fcvm-11-1415306-g001.jpg
case_images: PMC11754239_01_fcvm-11-1415306-g001.jpg
case_images: F1
case_images: LAD (Figure 1A), and approximately 75% stenosis in the middle segment of the right coronary artery (RCA) (Figure 1B).
case_images: Coronary angiography after stent implantation. (A) One stent implanted in the proximal LAD. (B) Another stent implanted in the middle RCA. LAD, left anterior descending artery; RCA, right coronary artery.
case_images: fcvm-11-1415306-g002.jpg
case_images: PMC11754239_01_fcvm-11-1415306-g002.jpg
case_images: F2
case_images: LAD was identified as the criminal vessel and one stent was inserted (Figure 2A). Later, one stent was inserted into the middle RCA (Figure 2B).
case_images: Changes in the ECG of this patient. (A) Patient's asymptomatic ECG before hospitalization. (B) ECG at admission (persistent chest tightness for 30 min). (C) ECG after 1 h of hospitalization (chest tightness relieved for 20 min). (D) ECG after 12 h of hospitalization. (E) ECG after 4 days of hospitalization (1 day after percutaneous intervention). (F) ECG 1 month after percutaneous intervention. De Winter syndrome is shown in (B). Wellens syndrome is shown in (C-E). ECG, electrocardiogram; PCI, percutaneous intervention.
case_images: fcvm-11-1415306-g003.jpg
case_images: PMC11754239_01_fcvm-11-1415306-g003.jpg
case_images: F3
case_images: T-waves and an elevation of nearly 1 mm in STAVR (de Winter syndrome) (Figure 3B). TV2 and inverted TV3-V4 (Figure 3C). The T-wave changes persisted for more than 4 days (Wellens syndrome) (Figures 3C-E). The patient's ECG pattern showed an upright TV2-4 (Figure 3F) 33 days after the onset of the disease.