case_images: PMC11156994_01
case_images: Coronary arterial photovation: coronary blood supply right advantage type; LM normal, LAD arteriosclerosis; remote blood flow TIMI 3; LCX arteriosclerosis, remote blood flow TIMI level 3; RCA normal arteriosclerosis, remote blood flow TIMI level 3 level 3 level 3, ACS evidence is not sufficient.
case_images: fonc-14-1404045-g001.jpg
case_images: PMC11156994_01_fonc-14-1404045-g001.jpg
case_images: f1
case_images: TIMI grade 3 distal flow, while the right coronary artery (RCA) exhibited normal anatomy with TIMI grade 3 distal flow. There was insufficient evidence of acute coronary syndrome (ACS) based on these findings ( Figure 1 ).
case_images: Trend of myocardial enzyme changes.
case_images: fonc-14-1404045-g002.jpg
case_images: PMC11156994_01_fonc-14-1404045-g002.jpg
case_images: f2
case_images: Final monitoring demonstrated a 95% decrease in troponin I levels, a 66% decrease in myoglobin levels, a 98% decrease in creatine kinase levels, a 95% decrease in creatine kinase isoenzyme levels, and a 20% decrease in lactate dehydrogenase ( Figures 2 - 4 ).
case_images: Trend of lactate dehydrogenase changes.
case_images: fonc-14-1404045-g003.jpg
case_images: PMC11156994_01_fonc-14-1404045-g003.jpg
case_images: f3
case_images: Final monitoring demonstrated a 95% decrease in troponin I levels, a 66% decrease in myoglobin levels, a 98% decrease in creatine kinase levels, a 95% decrease in creatine kinase isoenzyme levels, and a 20% decrease in lactate dehydrogenase ( Figures 2 - 4 ).
case_images: Trend of creatine kinase changes.
case_images: fonc-14-1404045-g004.jpg
case_images: PMC11156994_01_fonc-14-1404045-g004.jpg
case_images: f4
case_images: Final monitoring demonstrated a 95% decrease in troponin I levels, a 66% decrease in myoglobin levels, a 98% decrease in creatine kinase levels, a 95% decrease in creatine kinase isoenzyme levels, and a 20% decrease in lactate dehydrogenase ( Figures 2 - 4 ).
case_images: Trend of hormone dose changes. Prednisone was first administered on January 16, 2022 at 40mg.The dose was reduced to 32mg on January 20.The dose was reduced to 28mg on January 23.The patient's condition deteriorated and she was transferred to the ICU on January 24.The dose was adjusted upward to 40mg.The dose was re-adjusted to 80mg on January 25.The dose was reduced in steps until the patient's condition stabilized and she was transferred to the ICU on February 9.The dose was reduced to 5mg on March 2.The patient was discharged on March 30.The drug was discontinued on March 30.The patient's condition stabilized and he was discharged from the hospital. stabilized and was discharged from the hospital. The drug was discontinued on March 30th. (5mg prednisone is equivalent to 4mg methylprednisolone).
case_images: fonc-14-1404045-g005.jpg
case_images: PMC11156994_01_fonc-14-1404045-g005.jpg
case_images: f5
case_images: Then the patient was safely stabilized and discharged to continue 5 mg/d prednisone tablets for a month ( Figure 5 ). (5mg prednisone is equivalent to 4mg methylprednisolone).