How should I treat a spontaneously reperfused acute STEMI that involves the left main stem and proximal LAD?
BACKGROUND
A 41-year-old female with 90 minutes of severe chest pain and ST-elevation in leads V1-V2 underwent emergency coronary angiography with a view to primary angioplasty.


METHODS
Physical examination, electrocardiography, coronary angiography.


METHODS
ST-segment elevation anterior myocardial infarction.


RESULTS
Coronary angiography, antiplatelet and antithrombotic therapy, statin, angiotensin-converting enzyme inhibitor, beta blocker, IVUS and percutaneous coronary intervention (PCI)
Liverpool Heart and Chest Hospital, Liverpool, United Kingdom. Scott.Murray@doctors.org.uk
Scott W
SW
Murray
Periaswamy
P
Velavan
David R
DR
Ramsdale
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis; D003323:Coronary Aneurysm / Q000175:diagnosis; D017023:Coronary Angiography; D003326:Coronary Circulation; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D018084:Ultrasonography, Interventional