case_images: PMC4006337_01
case_images: a-Electrocardiogram at admission; b- Electrocardiogram at 24 hours after admissionn
case_images: CHSJ-40-1-078-fig1.jpg
case_images: PMC4006337_01_CHSJ-40-1-078-fig1.jpg
case_images: F1
case_images: ECG changes more than 30 minutes, and having no possibility of primary percutaneous coronary intervention, it was decided to administer a thrombolytic drug (Reteplase 10 U i.v. repeated once at 30 minutes). Evolution was favorable, with remission of pain, but without significant electrocardiographic signs of reperfusion (Fig.1b).
case_images: a- Electrocardiogram at 2-months follow-up; b- Coronary angiography at 2-months follow-up - normal left coronary artery; c- Magnetic resonance imaging at 2-months follow-up - dynamic postcontrast T1 sequence with moderate focal capture in the septal myocardium (arrows)
case_images: CHSJ-40-1-078-fig2.jpg
case_images: PMC4006337_01_CHSJ-40-1-078-fig2.jpg
case_images: F2
case_images: The ECG showed q waves and negative T waves in DI and aVL leads (Fig. 2a).