Abstract
A 64-year-old gentleman was admitted for primary percutaneous coronary intervention (PCI) after he experienced chest pain while drinking alcohol in a pub. The electrocardiograms demonstrated atrial fibrillation (AF) with a rapid ventricular response rate and transient ST-segment elevation with loss of R waves in the anterior leads (Figure 1). Coronary angiography revealed a thrombotic occlusion of the distal segment of the left anterior descending artery (Figure 2). The proximal left anterior descending, circumflex and right coronary arteries were angiographically free from significant atherosclerotic changes. …
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