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50 yo with V fib has ROSC, then these 2 successive ECGs: what is the infarct artery?

Dr. Smith's ECG Blog

On follow up angiography, there was a large OM1 and small AV groove Cx/LPL visible as the vessel re-canalized LAD is noted to have diffuse 50% stenosis in the proximal segment and is occluded immediately beyond a small D1 RCA is a medium-large caliber vessel and supplies a medium rPDA, medium rPLA1, and three small rPLA branches. TIMI-0 flow.

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Rise of the Lysenkoist Cardiologists

Dr. Anish Koka

Marked differences can be seen in the prevalence of coronary artery stenosis at autopsy by age and gender. In 30-39 year old women the rate of coronary stenosis at autopsy was 5/1,545 (0.3%) while 60-69 year old men had a prevalence of 12%, almost 40 times higher. The results of this dataset by age and gender follow.