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A 79-year-old male patient with a history of remote inferolateral myocardial infarction (1993), with ischemic cardiomyopathy with moderate left ventricular dysfunction (LVEF of 40–45%), typical counter-clockwise atrial flutter treated with RF ablation (2021), gastric ulcer, and lung carcinoma, presents an episode of palpitations during his hospitalization in the Cardiology Department where he had been admitted 2 days prior for an episode of constrictive chest pain. A 12-lead ECG was recorded during palpitations and is presented in Fig. 1. His coronary angiography demonstrated severe proximal LAD stenosis, severe proximal CX stenosis, and diffuse atheroma of the right coronary artery.

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ECG 15

  • 章节

  • 发表日期：

    2025年

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  • Raphael Martins

摘要

A 79-year-old male patient with a history of remote inferolateral myocardial infarction (1993), with ischemic cardiomyopathy with moderate left ventricular dysfunction (LVEF of 40–45%), typical counter-clockwise atrial flutter treated with RF ablation (2021), gastric ulcer, and lung carcinoma, presents an episode of palpitations during his hospitalization in the Cardiology Department where he had been admitted 2 days prior for an episode of constrictive chest pain. A 12-lead ECG was recorded during palpitations and is presented in Fig. 1. His coronary angiography demonstrated severe proximal LAD stenosis, severe proximal CX stenosis, and diffuse atheroma of the right coronary artery.