A 43-year-old man presented with chest pain and was diagnosed with an acute inferior ST elevation myocardial infarction with evidence of right coronary artery occlusion but no right ventricular involvement; he underwent primary percutaneous coronary intervention of the mid right coronary artery, which had a clot. The same patient had a complex lesion in the left anterior descending artery and its diagonals requiring staged percutaneous coronary intervention. A 55-year-old woman with diabetes and chest pain was found to have severe reversible ischemia in the territories of the left anterior descending artery and right coronary artery on nuclear stress testing, with normal circumflex artery area; coronary angiography revealed a critical proximal lesion in the left anterior descending artery.

1. Cardiology Case Presentation Dr Ihab Suliman 15/1/2010

2. 43 years old with Chest Pain

3. Right side ECG

4. Acute Inferior STEMI in NSR. No evidence of RV infarction y ECG Most likely is RCA occlusion because ST elevation more in lead 111>11

6. Post Angioplasty Primary PCI of RCA.

8. Mid RCA lesion with Clot.

12. RCA lesion after clot suction & PCI

14. Same patient with Inferior MI , there is complex lesion LAD/Dagonals, needs staged PCI.

15. 55 years old lady with long standing DM, had chest pain, persantin nuclear stress is performed

17. There is severe reversible Ischemia involving LAD & RCA territories. Cx area is ok.

20. Angiogram showing Critical LAD proximal lesion

21. Thank u very much