Left main occlusion is associated with a dire prognosis, as the left main supplies blood to >75 % of the left ventricle. This is a case showing a classic electrocardiogram (ECG) together with the echocardiogram videos and images from coronary angiography.
An 83-year-old male was admitted to hospital because of mild chest pain lasting for 2 hours. His past medical history included paroxysmal atrial fibrillation, hypertension, and a history of prostate carcinoma, for which he had undergone prostatectomy in the past. His medication included a vitamin K antagonist, amiodarone, enalapril, amlodipine, hydrochlorothiazide, casodex, and tamoxifen.