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- acute coronary syndrome
- myocardial infarction
- cardiac catheterization
- echocardiography
- heart failure, systolic
Clinical introduction
A man in his 50s was referred to our hospital after being treated for acute anterior wall myocardial infarction (MI) with intravenous thrombolysis. The patient had worsening dyspnoea. Examination revealed elevated jugular venous pressure, bilateral crackles and a prominent pansystolic murmur. Coronary angiogram revealed significant stenosis of the distal left main and ostioproximal left anterior descending artery.
A left ventriculogram was performed during cardiac catheterisation (figure 1, video 1).
Left ventriculogram in left anterior oblique projection.
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Footnotes
Contributors All authors contributed to design, draft preparation and review of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Provenance and peer review Not commissioned; internally peer reviewed.
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