Journal Article

Chest Discomfort After Percutaneous Coronary Intervention

ECG Puzzler

Sukardi Suba, PhD, RN;

Dillon J. Dzikowicz, PhD, RN, PCCN;

Mary G. Carey, PhD, RN

Added to Collection

Scenario: An 80-year-old man arrived at the emergency department (ED) with general weakness and diffuse chest discomfort. He had undergone a percutaneous coronary intervention (PCI) of a left circumflex artery branch 3 days prior. Echocardiography after PCI showed hypokinesis of the inferoposterior wall. His medical history included hypertension, hyperlipidemia, diabetes mellitus, cerebral ischemic stroke, and coronary artery disease. He had chronic occlusion of the left circumflex artery (stented ~20 years ago). Vital signs on ED arrival: blood pressure, 110/63 mm Hg; heart rate, 45/min; respiratory rate 18/min; and body temperature, 36.9°C. His 0- and 1-hour troponin levels were within the normal limits. His 12-lead electrocardiogram (ECG) recorded upon ED arrival is shown here.
Article Source Link: http://dx.doi.org/10.4037/ajcc2024482

Full-text web article access is available for members at ajcc.aacnjournals.org