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Figure 1 shows the ECG recorded in the same patient presented in case 35: a 45-year old male patient with a history of active smoking (30 pack-years) but without any other significant past medical history is admitted to the hospital for an episode of aborted sudden cardiac death that occurred during a football match. The first ECG recorded by the Mobile Emergency Team showed the presence of ST segment elevation in the anterior leads. The diagnosis of STEMI was established, and the patient underwent urgent coronary angiography, which demonstrated the presence of acute thrombotic occlusion of the proximal left anterior descending coronary artery. PTCA + stent implantation was performed, and the patient was transferred to the Coronary Care Unit. An ECG was recorded by the nurse at arrival (Fig. 1), who is worried and quickly presents it to the junior doctor.

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ECG 36

  • 章节

  • 发表日期：

    2025年

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  • Mihai Puiu

摘要

Figure 1 shows the ECG recorded in the same patient presented in case 35: a 45-year old male patient with a history of active smoking (30 pack-years) but without any other significant past medical history is admitted to the hospital for an episode of aborted sudden cardiac death that occurred during a football match. The first ECG recorded by the Mobile Emergency Team showed the presence of ST segment elevation in the anterior leads. The diagnosis of STEMI was established, and the patient underwent urgent coronary angiography, which demonstrated the presence of acute thrombotic occlusion of the proximal left anterior descending coronary artery. PTCA + stent implantation was performed, and the patient was transferred to the Coronary Care Unit. An ECG was recorded by the nurse at arrival (Fig. 1), who is worried and quickly presents it to the junior doctor.