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(A) Chest X-rays did not show any evidence of cardiac shadow enlargement, mediastinal widening, or abnormal pulmonary field findings. (B) A 12-lead electrocardiogram revealed ST-segment elevation in leads aVL, aVR, and V1−V4 as well as ST-segment depression in leads II, III, and aVF. (C) Emergency coronary angiography revealed that LMT was occluded. (D) IVUS revealed that low-attenuation plaque was distributed through more than half of the LMT lesion.
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We report a case of a 59-year-old man who developed acute myocardial infarction which is supposed to be associated with capecitabine administration. At the age of 57 years, the patient underwent a laparoscopic colectomy for sigmoid colon cancer and subsequently received adjuvant chemotherapy with capecitabine. About one year later, he developed an...
Contexts in source publication
Context 1
... did not reveal any evident abnormalities in heart sounds or breathing sounds. Chest X-rays did not show any evidence of cardiac shadow enlargement, mediastinal widening, or abnormal pulmonary field findings ( Figure 1A). A 12-lead electrocardiogram revealed ST-segment elevation in leads aVL, aVR, and V1−V4 as well as ST-segment depression in leads II, III, and aVF ( Figure 1B). ...
Context 2
... X-rays did not show any evidence of cardiac shadow enlargement, mediastinal widening, or abnormal pulmonary field findings ( Figure 1A). A 12-lead electrocardiogram revealed ST-segment elevation in leads aVL, aVR, and V1−V4 as well as ST-segment depression in leads II, III, and aVF ( Figure 1B). Transthoracic echocardiography revealed asynergy in the anterolateral, anterior, and anteroseptal walls of the left ventricle. ...
Context 3
... arrival at the catheterization laboratory, his blood pressure had deteriorated to 70/50 mmHg. Emergency coronary angiography revealed that his left main trunk (LMT) was occluded ( Figure 1C). After the administration of 20 mg prasugrel (Daiichi Sankyo, Tokyo, Japan), he underwent percutaneous coronary intervention (PCI) following emergency intra-aortic balloon pump placement. ...
Context 4
... the thrombus was aspirated using Thrombuster GR (Kaneka Medical Products, Osaka, Japan), thrombolysis in myocardial infarction (TIMI) grade 3 flow was achieved. Intravascular ultrasound (IVUS) revealed that low-attenuation plaque was distributed through more than half of the LMT lesion, suggesting that these plaques were extremely vulnerable ( Figure 1D). LMT: left main trunk, IVUS: intravascular ultrasound TIMI grade 3 flow was achieved with the deployment of a 3.5 × 18 mm Resolute Onyx stent (Medtronic, MN, USA) from the left anterior descending artery (LAD) into the LMT. ...
