Cardiology>>>>>Ischaemic heart disease
Question 122#

A 58-year-old man known for hypertension and smoking suffered chest pain and dyspnea in the previous 48 hours. He consulted emergency department for persisting symptoms. The rest 12-lead ECG at admissions is shown in Figure below.

What is the diagnosis?

a. Takotsubo cardiomyopathy
b. Pericarditis
c. Anterior subacute MI
d. Cardiomyopathy hypertrophic obstructive
e. Hypertensive heart disease

Correct Answer is C

Comment:

Anterior subacute MI. ECG reveals ST elevation of anterolateral fields. Due to persisting chest pain, the patient has been investigated with angiography. The ventriculography showed occlusion of the mid-portion of the left anterior descending coronary artery treated with thromboaspiration and implantation of a BMS. The image of the thrombus extracted is shown in Figure below.