Clinical Aspects This is a 55-year-old male patient known to have insulin dependent DM and CKD who in February 2017 had a nocturnal episode of dyspnea. Due to the episode, he sought medical care in the emergency room, where changes in markers of myocardial necrosis were identified – increased CKMB and troponin, as well as ST-segment depression from V2 to V6 on the ECG. A coronary angiography was performed at the time showing only a 30% lesion in the right […]