EuroPCR2026-images-93780-STEMI-cardiogenic-shock

What is the cause of STEMI in the patient?
Plaque rupture
Plaque erosion
Spontaneous coronary dissection
Correct! The correct answer is "Spontaneous coronary dissection".
 
A 52-year-old lady presented with central chest pain for 4 hours. Electrocardiogram showed ST elevation in anterior leads. Blood pressure at time of presentation was 80/60mmHG and saturation was 85% on room air. An Intravascular ultrasound analysis was performed from distal left anterior descending coronary artery.

 
Good try! The correct answer is "Spontaneous coronary dissection".
 
A 52-year-old lady presented with central chest pain for 4 hours. Electrocardiogram showed ST elevation in anterior leads. Blood pressure at time of presentation was 80/60mmHG and saturation was 85% on room air. An Intravascular ultrasound analysis was performed from distal left anterior descending coronary artery.
 
 
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