Successful Management of Inferior Wall STEMI in a Patient with Obstructive Three-Vessel Disease, Diabetes Mellitus, and Hypertension: A Case Report

We report the case of a 67-year-old female with a complex medical history, including poorly controlled Type 2 diabetes mellitus, hypertension and recent inferior wall ST-segment elevation myocardial infarction (STEMI). She presented with generalized body aches, arm numbness and vomiting. Coronary angiography revealed severe three-vessel coronary artery disease including a 100% thrombotic occlusion of the right coronary artery (RCA). The patient underwent successful percutaneous coronary intervention (PCI) to both the distal and most-proximal RCA, followed by recommendations for further intervention on the left circumflex (LCx) and left anterior descending (LAD) arteries. This case highlights the challenges and successful management strategies in patients with multivessel coronary artery disease, comorbid diabetes and hypertension.