Abstract
A 70-year-old man presented to the emergency department with chest discomfort, hypotension, and bradycardia. The initial ECG revealed an ST-segment elevation inferoposterior myocardial infarction (MI). The patient was treated with aspirin, atropine, dopamine, unfractionated heparin, and eptifibatide, and was then referred for emergent cardiac catheterization. After temporary pacemaker placement, coronary angiography revealed a subtotal occlusion of the mid-right coronary artery (RCA) that was associated with a large intracoronary thrombus (Figure 1 …
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