11. Grade of ischaemia in
EGG depends on
• collateral supply
circulation
• “double”
• preconditioning
• normal ECG does not rule out ACS
• negative T waves indicate open vessel
11
12. Occlusion in the LEFT MAIN STEM:
deep ST-depressions and negative T waves in inferolateral
and antero-septal leads
This patient
developed
cardiogenic shock
shortly after
debut of his chest
pain
LM
normal RCA
The patient died
despite initial success
with PPCI
12
13. Culprit in the proximal LAD
(before the take-off of a Diagonal branch) - no protection
ST elevations in I, aVL and V2-V5
Intermediate
Diagonal
LAD
13
14. Occlusion in the proximal RCA:
ST-elevaton in in II, III, aVF + V1 & V4R
RCAa 100%
RCA POST-PTCA
14
21. Revascularisation
• medical therapy if no critical coronary
lesions if no options for revascularisation
• PCI with stenting of the cuprit lesion
• individualised decision in multivessel disease
• staged PCI or all at once
• PCI at first and then CABG
• CABG
21