2635859

A middle-aged male

Immediate post-resuscitation.

We were aware that ST Elevation can be a result of the low flow state in cardiac arrest, and resolve with time, but we activated the cath lab.

The interventionalist stated that a transplanted heart does not have coronary disease.

A chart review however, revealed the the patient had had an acute distal LAD occlusion one month prior.

15 minutes later

LAD:
LAD is a medium caliber vessel
D1 is a small to medium caliber that tapers abruptly in the proximal segment
and is subtotally occluded
D2 is a medium caliber branching vessel and D3 is small
Distal LAD tapers and is occluded distally