Figure 1.

Delayed Presentation Inferior Wall MI

(A) A 12-lead electrocardiogram showing complete heart block and inferoposterolateral ST-segment elevation myocardial infarction with junctional escape rhythm in a 79-year-old man with delayed presentation complicated by cardiogenic shock. (B) (a) Ostial right coronary artery (RCA) occlusion (arrow); (b) establishment of flow after wire passage and angioplasty; (c) patent left main, ostial left anterior descending (LAD), and left circumflex arteries with cardiac standstill; (d) after drug-eluting stent placement with normalized flow in the RCA; (e) after Impella CP (Abiomed, Danvers, Massachusetts) placement with mid-LAD and diagonal disease; and (f) the final angiography of the RCA.