A 54 year old man with two hours of chest pain.

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A 54 year old man with two hours of chest pain. A 54 year old man with two hours of chest pain. (A) The ECG shows ST elevation in the inferior leads and V6 and ST depression in I, aVL, and V1–V4. (B) Angiography of the left coronary artery revealed total occlusion of the left anterior descending (black arrow) and the left circumflex (white arrow) arteries. (C) Angiography of the right coronary artery showed complete occlusion of the artery. Y Birnbaum, and B J Drew Postgrad Med J 2003;79:490-504 Copyright © The Fellowship of Postgraduate Medicine. All rights reserved.