70-year-old patient, in the emergency room for acute chest pain. There is ST-segment elevation on the ECG.
Based on the echocardiogram, which acute ST-elevation myocardial infarction do you suspect?
A) Inferior B) Lateral C) Posterior D) Postero-lateral
Right answer is: D) Postero-lateral
This case is the classic example of Postero-Lateral STEMI due to occlusion of the circumflex coronary artery. Note the longitudinal strain analysis showing the segments affected by myocardial ischemia with marked post-systolic shortening.
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