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Man in his 30s with acute coronary syndrome
  1. Akinchan Bhardwaj,
  2. A Shaheer Ahmed,
  3. Saurav Banerjee
  1. Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
  1. Correspondence to Dr A Shaheer Ahmed, Cardiology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Tamil Nadu, India; ahmedshaheer53{at}

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Clinical introduction

A man in his 30s presented to emergency room with acute onset chest pain and breathlessness. Electrocardiography showed ST segment elevations in the inferior leads with reciprocal depression. Being within the window period, he was thrombolysed with streptokinase. Subsequently, he was referred to cardiology for coronary angiography. A coronary angiogram was done through right radial access as shown in figure 1A. Subsequently, optical coherence tomography (OCT) was done as shown in figure 1B–D.

Figure 1

(A) Coronary angiography of right coronary artery (RCA). (B, C and D) Optical coherence tomography …

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  • Contributors All the coauthors have contributed to the management of the patient and creation 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.

  • Provenance and peer review Not commissioned; internally peer reviewed.