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Coronary arteries without significant stenosis in non ST elevation myocardial infarction (NSTEMI) – Who is the culprit?  Pankaj Jariwala  Journal of Indian.

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Presentation on theme: "Coronary arteries without significant stenosis in non ST elevation myocardial infarction (NSTEMI) – Who is the culprit?  Pankaj Jariwala  Journal of Indian."— Presentation transcript:

1 Coronary arteries without significant stenosis in non ST elevation myocardial infarction (NSTEMI) – Who is the culprit?  Pankaj Jariwala  Journal of Indian College of Cardiology  Volume 4, Issue 4, Pages (December 2014) DOI: /j.jicc Copyright © 2014 Indian College of Cardiology Terms and Conditions

2 Fig. 1 Electrocardiogram is showing normal sinus rhythm with heart rate of 100/minute. Significant ST-segment depressions were in infero-lateral leads (I, II, III, aVF, V2–V6) with maximum in lead V4 (>5 mm). ST segment elevations were seen in leads aVR and V1. Journal of Indian College of Cardiology 2014 4, DOI: ( /j.jicc ) Copyright © 2014 Indian College of Cardiology Terms and Conditions

3 Fig. 2 a–d: Coronary angiography showing coronary arteries without significant stenosis. a: Coronary angiography of left coronary artery demonstrated slow flow in left anterior descending artery (LAD) filling up to the mid segment [arrow]. The left circumflex and ramus arteries had normal flow without any stenosis. b: Angiography of LAD in delayed frames showing contrast up to distal segment in LAO cranial view. c: Right coronary angiography without significant stenosis and normal flow. d: Intra-aortic balloon counter pulsation in place in descending thoracic aorta. Journal of Indian College of Cardiology 2014 4, DOI: ( /j.jicc ) Copyright © 2014 Indian College of Cardiology Terms and Conditions


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