Cardiology>>>>>Ischaemic heart disease
Question 120#

A 60-year-old man known for current smoking is admitted to the emergency department for prolonged typical chest pain. The 12-lead ECG is shown in Figure below.

What is the most likely finding at the coronary angiography?

A. Occlusion of the first marginal branch of the left circumflex coronary artery
B. Occlusion of the proximal left anterior descending coronary artery
C. Occlusion of the dominant RCA
D. Occlusion of the left main trunk
E. Occlusion of the first diagonal branch

Correct Answer is E


Occlusion of the first diagonal branch. The ECG showed inferoposterolateral STEMI. Coronary angiography showed a thrombotic occlusion of mid-portion of the dominant RCA.