Abstract

A 69-year-old man with a history of hypertension was referred to our institution for management of acute myocardial infarction (AMI) and cardiogenic shock. The ECG showed a marked ST-segment elevation in leads II, III, and aVF and a reciprocal ST-segment depression in leads V2 through V6, suggesting an inferior wall AMI (Figure 1). Immediately after admission, the patient went into sudden cardiac and respiratory arrest and received cardiopulmonary resuscitation (CPR). A temporary pacemaker and an intra-aortic balloon pump were inserted during the CPR procedure, and emergent coronary angiography was performed. The right coronary angiogram showed no …

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