- Patient initials or identifier number:
-Relevant clinical history and physical exam:
A 49-year-old hypertensive female who had undergone primary PCI due to anterior ST-segment elevation myocardial infarction 4 weeks earlier, was referred to our hospital for PCI on posterior descending and right coronary arteries. Systolic and diastolic blood pressure was reported to be 150/90 mm Hg. Physical examination was unremarkable.
-Relevant test results prior to catheterization:
Baseline laboratory parameters were within normal limits. The assessment of 12-lead electrocardiogram showed normal sinus rhythm with deep T wave inversion in anterior and inferior leads due to prior myocardial infarction. Echocardiogram revealed wall motion abnormality in anterior and septal area with left ventricular ejection fraction of 50%.
- Relevant catheterization findings:
In baseline coronary angiography, patent prior left anterior descending artery stent, normal circumflex artery and severe stenosis in the mid-part of right coronary artery and posterior descending artery were detected.