Tag Archives: coronary angioplasty

Introduction Acute coronary occlusions involving the diagonal or intermediate branches present diagnostic challenges, since classical patterns of ST-elevation in contiguous leads on electrocardiogram (ECG) are often not apparent. This leads to delays in catheter laboratory activation and delivery of reperfusion therapy, and, ultimately, worse clinical outcomes. Case report A 44-year-old man with a background of hypertension and paraplegia presented with acute chest pain radiating to the left arm, which woke him from sleep. He called for emergency medical assistance, and an ECG, performed by paramedics, showed ST-segment elevation in leads aVL

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