Key result
Pre-hospital ECG teletransmission facilitates successful primary PCI and survival in rare double-vessel STEMI.
Why the study?
STEMI due to simultaneous double vessel thrombotic occlusion of two major coronary arteries is an extremely rare clinical entity with mostly fatal outcomes and limited data before widespread ECG teletransmission.
Case Report (n=1)
No
Pre-hospital ECG teletransmission plays a crucial role in the immediate treatment and survival of patients with rare and often fatal simultaneous double vessel thrombotic occlusions.
Alerts clinicians to rare fatal STEMI variant; leaves open optimal management strategies.
ST-segment elevation myocardial infarction (STEMI) due to simultaneous double vessel thrombotic occlusion of two major coronary arteries is an extremely rare clinical entity. Available studies indicate that most frequently it affects two coronary arteries originating from different sides of a coronary tree (i.e. right coronary artery (RCA) and left anterior descending artery (LAD) or RCA and left circumflex artery (LCx)) and usually has a fatal clinical course. However, it must be pointed out that the data have been derived from studies before the era of a widely-used pre-hospital electrocardiogram (ECG) teletransmission. Herein, we present a case report of successfully-treated STEMI due to simultaneous occlusion of LAD and LCx. Furhtermore, the case report highlights a crucial role of ECG teletransmission for immediate treatment and survival of patients with the so-called "the deadly double infarct syndrome".
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Kuzemczak et al. (2018) conducted a case report in ST-segment elevation myocardial infarction (STEMI) due to simultaneous thrombotic occlusion of LAD and LCx (n=1). Primary percutaneous coronary intervention (PCI) and pre-hospital ECG teletransmission was evaluated on Restoration of coronary blood flow and clinical recovery. Primary percutaneous coronary intervention following pre-hospital ECG teletransmission successfully restored normal coronary blood flow and led to the survival of a patient with a rare double-vessel STEMI.
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