56 YOM with PMHx CAD and PCI 7 years prior. C/O substernal c | Figure 1

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56 YOM with PMHx CAD and PCI 7 years prior. C/O substernal chest pressure and tightness upon waking, called EMS. EKG on scene showed inferior ST elevation. ED called immediately and STEMI page activated. Pt bypassed ED and brought straight to Cath Lab. Coronary images showed an occluded circumflex artery. Previous LAD stents widely patent. Occlusion was treated with a drug-eluting stent.

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