PMID- 37273680 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230606 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 15 IP - 6 DP - 2023 Jun TI - Novel Intracoronary Infusion of Supersaturated Oxygen Therapy in Patients Presenting With Acute ST Elevation Myocardial Infarction: Does It Help? PG - e39915 LID - 10.7759/cureus.39915 [doi] LID - e39915 AB - Supersaturated oxygen (SSO(2)) is one of the emerging therapies that has shown benefit for patients suffering from acute ST elevation myocardial infarction (STEMI) in terms of reducing infarct size, which has been used as a prognostic indicator for future heart failure and hospitalizations. Trials investigating SSO(2) therapy have shown improvement in infarct size when used as an adjunct therapy to percutaneous trans-luminal coronary angioplasty (PTCA) or percutaneous coronary intervention (PCI) in patients presenting with acute myocardial infarction (aMI). Here we present a patient with a mid left anterior descending artery (mLAD) STEMI who underwent SSO(2) therapy. The patient presented with new onset angina and ST elevations on EKG. He underwent emergent coronary angiography, which confirmed an mLAD complete vessel occlusion. Successful PCI was done with a drug-eluting stent followed by supersaturated oxygen therapy. On follow-up evaluation, the patient had improved left ventricular (LV) ejection fraction from 35% to 60%. This case highlights the safety and efficacy of SSO(2) therapy for patients suffering from acute anterior wall myocardial infarction. We recommend further investigation of this therapy for its routine use, safety, and prognostic utility. We also recommend routine use of adjunctive SSO(2) therapy for patients suffering acute anterior STEMI. CI - Copyright (c) 2023, Alamzaib et al. FAU - Alamzaib, Sardar M AU - Alamzaib SM AD - Cardiology, Marshall University Joan C. Edwards School of Medicine, Huntington, USA. FAU - Jensen, Jay C AU - Jensen JC AD - Internal Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, USA. FAU - Mansoor, Kanaan AU - Mansoor K AD - Internal Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, USA. FAU - Rabbani, Noor Ul Ann AU - Rabbani NUA AD - Internal Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, USA. FAU - Sayyed, Rameez AU - Sayyed R AD - Cardiology, Marshall University Joan C. Edwards School of Medicine, Huntington, USA. LA - eng PT - Case Reports DEP - 20230603 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC10239294 OTO - NOTNLM OT - acs ( acute coronary syndrome ) OT - cardiac chest pain OT - early ptca (percutaneous transluminal coronary angioplasty) OT - echocardiogram (echo) OT - myocardial infarction OT - primary percutaneous coronary intervention (pci) OT - st elevated myocardial infarction (stemi) OT - supersaturated oxygen therapy COIS- The authors have declared that no competing interests exist. EDAT- 2023/06/05 13:04 MHDA- 2023/06/05 13:05 PMCR- 2023/06/03 CRDT- 2023/06/05 11:49 PHST- 2023/06/03 00:00 [accepted] PHST- 2023/06/05 13:05 [medline] PHST- 2023/06/05 13:04 [pubmed] PHST- 2023/06/05 11:49 [entrez] PHST- 2023/06/03 00:00 [pmc-release] AID - 10.7759/cureus.39915 [doi] PST - epublish SO - Cureus. 2023 Jun 3;15(6):e39915. doi: 10.7759/cureus.39915. eCollection 2023 Jun.