7th March 2024

A 50-year-old female who doesn’t smoke and has no significant medical history attends A&E with substantial shortness of breath at rest, occurring shortly after an episode of severe sudden onset chest pain.

A 50-year-old female who doesn’t smoke and has no significant medical history attends A&E with substantial shortness of breath at rest, occurring shortly after an episode of severe sudden onset chest pain. ECG demonstrates ST elevation in leads V2-V6 and leads I, II and III. Troponin is elevated at 900 ng/L (normal <14). Echo demonstrates apical ballooning and basal sparing with no clear territorial pattern. What is the angiogram likely to show?

Select the SINGLE most appropriate option from the list below. Select ONE option only.