23 June 2026
: Case report 
A 34-Year-Old Man With Exercise-Induced ST-Segment Elevation Myocardial Infarction 36 Hours After Descent From High Altitude: A Case Report
Unusual clinical course, Educational Purpose (only if useful for a systematic review or synthesis)
Zhiling He ABCDEF 1,2, Luxun Tang CDEF 2, Jingtang Hu B 2, Jiajie Liao B 3, Peng Wang B 2, Shuang Li ABCDEFG 2*DOI: 10.12659/AJCR.952048
Am J Case Rep 2026; 27:e952048
Figure 2 Coronary angiography (CAG) and intravascular ultrasound (IVUS) Examinations. (A) Emergency CAG at 20: 45 on October 1, 2024. Proximal occlusion of the left anterior descending artery (LAD) with thrombolysis in myocardial infarction (TIMI) 0 flow, and diffuse plaques throughout the LAD (red arrow). (B) IVUS revealed diffuse calcified plaque with substantial thrombus burden, minimum lumen area 2.63 mm2 plaque burden 83%. (C) A follow-up CAG was performed at 9: 02 on October 8, 2024. No stenosis in the left main coronary artery, 30% stenosis with plaque in the mid-to-distal segments of the LAD with TIMI 3 flow (green arrow).