Document Type

Poster

Publication Date

9-13-2014

Comments

Presented at: Transcather therapeutics (TCT 2014) in Washington DC.

Abstract

Case Presentation

  • 58-year-old male with prior non-ST elevation MI with PCI performed using a sirolimus eluting stent placed in a large OM1 branch 86 months prior presented with five hours chest pain similar to prior MI >7 years earlier.
  • Additional history of hypertension, hyperlipidemia, non-compliance with antiplatelet therapy and active tobacco abuse at time of presentation.
  • Patient reported self-discontinuation of medications (aspirin (time unknown), statin, beta blocker) and resumed smoking.
  • Clopidogrel was discontinued by his primary physician 97 days prior to presentation
  • Initial electrocardiogram revealed a lateral ST elevation MI and the patient was taken to the cardiac catheterization lab for urgent coronary angiography.

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