NDLI: Simultaneous total occlusion of the 3 major coronary arteries in a patient with inferior ST-segment elevation myocardial infarction complicated by cardiogenic shock and sinus bradycardia.

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Simultaneous total occlusion of the 3 major coronary arteries in a patient with inferior ST-segment elevation myocardial infarction complicated by cardiogenic shock and sinus bradycardia.

Content Provider	Europe PMC
Author	El-Azrak, Mohammed Boutaybi, Mohammed El Ouafi, Noha Bazid, Zakaria
Copyright Year	2022
Abstract	Simultaneous occlusion of more than one coronary artery is uncommon and associated with poor prognosis. We reported a particular case of a 62-year-old patient, who presented with an inferior ST-segment elevation myocardial infarction with right ventricular involvement complicated by cardiogenic shock, sinus bradycardia, and an extensive echocardiographic ischemia with severe left ventricular systolic dysfunction. Coronary angiography revealed occlusion of 3 major coronary arteries. Primary percutaneous coronary intervention of the right coronary artery was performed with hemodynamic recovery, chest pain, and ST-segment resolution. Treatment for heart failure with reduced ejection fraction was initiated, with a good outcome.
Volume Number	18
PubMed Central reference number	PMC9931509
Issue Number	3
PubMed reference number	36818999
Journal	Radiology Case Reports [Radiol Case Rep]
e-ISSN	19300433
DOI	10.1016/j.radcr.2022.12.066
Language	English
Publisher	Elsevier
Publisher Date	2023-01-19
Access Restriction	Open
Rights License	This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
Subject Keyword	ST segment elevation myocardial infarction Simultaneous coronary artery occlusion Percutaneous coronary intervention Multiple thromboses ECG, electrocardiogram LAD, left anterior descending coronary artery NYHA, New York Heart Association PCI, percutaneous coronary intervention RCA, right coronary artery STEMI, ST-segment elevation myocardial infarction TAPSE, tricuspid annular systolic excursion TIMI, the thrombolysis in myocardial infarction
Content Type	Text
Resource Type	Article
Subject	Radiology, Nuclear Medicine and Imaging

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