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Images in Clinical Medicine
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Volume 328:707 March 11, 1993 Number 10
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Emergency Coronary-Artery Angioplasty for Cardiogenic Shock Complicating Acute Myocardial Infarction

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Figure 1. Emergency Coronary-Artery Angioplasty for Cardiogenic Shock Complicating Acute Myocardial Infarction.

Coronary-artery angioplasty was performed in a 45-year-old man who presented with two hours of crushing retrosternal chest pain and hypotension (blood pressure, 90/60 mm Hg). Electrocardiography revealed evidence of an acute anterior-wall myocardial infarction. Coronary arteriography (Panel A) showed a left anterior descending artery that was totally occluded in its proximal portion (indicated by the arrow in each panel), with normal right and circumflex coronary arteries. Emergency coronary-artery angioplasty (Panel B) resulted in rapid antegrade flow without residual stenosis at the site of the occlusion (Panel C). The . . . [Full Text of this Article]

 



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