Abstract
A 66-year-old woman with no known medical history presented to the emergency department complaining of chest discomfort and difficulty breathing for the last 24 hours. She was in respiratory distress with a heart rate of 105 bpm and blood pressure of 115/65 mm Hg. The jugular venous pressure was elevated and there was a 4/6 holosystolic murmur across the precordium with a thrill. The ECG (Figure 1) showed acute anterior and inferior ST-segment elevation myocardial infarction (MI). The first total CK-MB fraction and troponin-I levels were 2001 U/L, 25.43 U/L, and 35 ng/mL, respectively. Coronary angiography …
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