Clinical History 260

Fifty year old gentleman who presents to the hospital with a clinical syndrome consistent with crescendo angina. A cardiac catheterization demonstrated a subtotal proximal occlusion of the left anterior descending coronary artery. This stenosis was successfully angioplastied. The patient subsequently presented to the hospital with recurrent chest pain and this electrocardiogram. A repeat cardiac catheterization demonstrated a patent PTCAsite, however a new 90% stenosis of the right coronary artery was found and successfully angioplastied. The patient suffered a small inferior myocardial infarction as serial serum cardiac enzymes were elevated.
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