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There is sinus bradycardia with one PVC. Coronary thrombosis or embolism can result in MINOCA, either with or without a hypercoagulable state. She then had a 12-lead: What do you think? Coronary microvascular dysfunction may contribute to MINOCA and requires further investigation.
Within ten minutes, she developed bradycardia, hypotension, and ST changes on monitor. Bradycardia and heart block are very common in RCA OMI. The cardiologist thought she had stent thrombosis which is possible, but I do not necessarily think is sufficient to explain her complete hemodynamic collapse.
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