Case of a 25-year-old male presented with mild epigastric discomfort present to the ER with vague upper abdominal pain at Apollo Hospital Bannerghatta Road Bangalore. He was evaluated initially by an emergency doctor with Serial investigation including ECG. Our team of cardiology was informed. A senior cardiologist came for a consultation visit. After evaluating with physical examination and ECG reporting asked the ER doctors to go ahead with anti gastritis management and supportive management to be kept under observation with serial ECGs as ECG did not travel significant change.
Cardiac markers to be done. After a while at ER, the patient’s ECG showed ventricular tachycardia and he was unconscious. His trop I was raised. He was rushed to Cathlab for emergency angiography which revealed ostioproximal LAD 99% lesion, emergency Adhoc PTCA was planned, after signing the consent papers DES…
