case_images: PMC5932506_01
case_images: Baseline ECG upon admission showing inferior Q waves, nonspecific ST and T wave changes, and evidence of LVH.
case_images: CRIM2018-6186521.001.jpg
case_images: PMC5932506_01_CRIM2018-6186521.001.jpg
case_images: fig1
case_images: Her initial ECG showed sinus rhythm, left ventricular hypertrophy (LVH) by Cornell criteria, and inferior Q waves (Figure 1).
case_images: ECG after seizure showing acute interval development of ST elevations at leads II, III, and aVF.
case_images: CRIM2018-6186521.002.jpg
case_images: PMC5932506_01_CRIM2018-6186521.002.jpg
case_images: fig2
case_images: ST elevations in leads II, III, and aVF (Figure 2). She was loaded with aspirin and ticagrelor and was started on heparin drip.
case_images: Mid-right coronary artery lesion.
case_images: CRIM2018-6186521.003.jpg
case_images: PMC5932506_01_CRIM2018-6186521.003.jpg
case_images: fig3
case_images: Hospitals Cleveland Medical Center for primary PCI. Her coronary angiography showed a chronically occluded mid-LAD, a mid-LCx with a patent stent, and an 80% in-stent restenosis in the mid-RCA (RCA) at the site of prior intervention with TIMI flow 3 before intervention (Figures 3 and 4).
case_images: Left system angiography.
case_images: CRIM2018-6186521.004.jpg
case_images: PMC5932506_01_CRIM2018-6186521.004.jpg
case_images: fig4
case_images: Hospitals Cleveland Medical Center for primary PCI. Her coronary angiography showed a chronically occluded mid-LAD, a mid-LCx with a patent stent, and an 80% in-stent restenosis in the mid-RCA (RCA) at the site of prior intervention with TIMI flow 3 before intervention (Figures 3 and 4).
case_images: Optical coherence tomography.
case_images: CRIM2018-6186521.005.jpg
case_images: PMC5932506_01_CRIM2018-6186521.005.jpg
case_images: fig5
case_images: Optical coherence tomography (OCT) (Figure 5) revealed malapposition of the prior overlapping stent and no thrombus or plaque rupture.
case_images: ECG after PCI showing marked resolution of ST elevation in leads II, III, and aVF.
case_images: CRIM2018-6186521.006.jpg
case_images: PMC5932506_01_CRIM2018-6186521.006.jpg
case_images: fig6
case_images: Postprocedure ECG showed resolution of the ST segment elevation (Figure 6).