A 50-year-old male presented to the ER with new onset chest pain which was progressively increasing in nature and it was a tearing kind of pain. The pain had been persisting for more than 20 minutes. ECG was conducted. After the ECG, patient was immediately put on the thrombolysis therapy. The aery involved in the above case is accompanied by which vein: –
Correct Answer: Great cardiac vein
Description: It is a case of anterior wall MI as seen by ST elevations in V1, V2, V3 and V4 chest leads. Most common aery involved in Anterior wall MI is left anterior descending aery. Venous drainage of the hea: - The great cardiac vein is the main tributary. It originates at the apex of the hea and follows the anterior interventricular groove into the coronary sulcus and around the left side of the hea to join the coronary sinus. The small cardiac vein is also located on the anterior surface of the hea. This passes around the right side of the hea to join the coronary sinus. Another vein which drains the right side of the hea is the middle cardiac vein. It is located on the posterior surface of the hea.
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