39 year old Male

History of Present Illness (HPI):

  • Hx of tobacco use and hyperlipidemia.
  • Presented with dull pressure in center of chest with radiation to throat and left arm.
  • Patient admitted to diaphoresis, nausea and vomiting.
  • ECG revealed 5mm ST elevations in anterolateral leads. ST elevation myocardial infarction involving left anterior descending (LAD) suspected within past 72 hours.
  • Cardiac catheterization revealed:
    • Right Coronary Artery & Left Main: Normal.
    • Left Anterior Descending: 100% occlusion mid portion; 60-70% stenosis in distal portion.
    • Left Circumflex Artery: 30% stenosis mid-vessel; non-dominant vessel.
    • Left Ventricle: Anteroapical hypokinesis.