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Abstract
A 78-YEAR-OLD MAN with history of hypertension and a recent anterior myocardial infarction was admitted for further evaluation of a positive stress transthoracic echocardiography (TTE) study. His TTE revealed mild systolic dysfunction with an estimated ejection fraction (EF) of 45%. The anterior wall was hypokinetic, and the apical cap was thinned and akinetic. Cardiac catheterization revealed 3-vessel coronary artery disease with 75% stenosis of the proximal right coronary artery, 95% stenosis of the midcircumflex coronary artery, and 100% occlusion of the left anterior coronary artery.
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