Premature Acute Myocardial Infarction in a Competitive Athlete

Figures

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  Figure 1. Coronary Angiography and Percutaneous Coronary Intervention (A) Right coronary angiography; (B) proximal left anterior descending artery occlusion; (C and D) ineffective thrombus aspiration; (E) predilation with a 2.0-mm semicompliant balloon; (F and G) implantation of 2 drug-eluting stents in the mid-proximal left anterior descending artery; (H) optimal final angiographic result.

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  Figure 2. Plaque Assessment With Intravascular Ultrasound and Virtual Histology (A) Plaque in the mid-left anterior descending artery; (B) plaque in the mid-proximal left anterior descending artery, just upstream of the bifurcation with the first diagonal branch; (C) plaque in the proximal left anterior descending artery. Dashed line: thrombotic component; dotted line: fibro-lipidic component; solid line: intraplaque calcifications.

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  Figure 3. Electrocardiogram After Return of Spontaneous Circulation After coronary revascularization and direct current shock, the electrocardiogram showed sinus rhythm, with diffuse anterior ST-segment elevation and Q waves in V1 to V6. I, II, III, aVF, aVL, aVR, V1 to V6 = electrocardiographic leads.