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A 55-Year-Old Man Is Brought to the Emergency Department Due

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A 55-year-old man is brought to the emergency department due to severe substernal chest pain that is accompanied by sweating and mild dyspnea.  The pain started as midline chest discomfort several hours ago but then progressively worsened such that the patient could not fall asleep.  He received sublingual nitroglycerin in the ambulance without significant pain relief.  His medical history includes hypertension, type 2 diabetes mellitus, and hyperlipidemia.  ECG demonstrates normal sinus rhythm and ST-segment elevation in leads I, aVL, and V1-V4, with deep Q wave development over the next several hours.  Cardiac catheterization in this patient would most likely show which of the following?


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