Case Report

Acute Myocardial Infarction and Massive Pulmonary Embolus Presenting as Cardiac Arrest: Initial Rhythm as a Diagnostic Clue

Figure 2

12-lead EKG showing sinus tachycardia, complete right bundle branch block, and massive ST segment elevation in anterior, anterolateral, and lateral leads. Coronary angiography after balloon angioplasty for stent thrombosis showing no reflow phenomenon, suggesting emboli to microvasculature and possibly nonviable myocardium with interstitial or perivascular myocardial edema.
343918.fig.002a
(a)
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(b)