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She was taken to the cath lab, where she was found to have 100% in-stent restenosis of the proximal LAD. Hyperacute T Wave in the Early Diagnosis of Acute MyocardialInfarction. Interpretation of acute myocardialinfarction with persistent “hyperacute T waves” by cardiac magnetic resonance. 2023;82:194–202.
If the FFR normalizes after stenting, the restenosis rates at six months is less than 5%. Since the FFR wire can be used for guiding balloon catheters and stents, it is easy to make post procedure measurements without any additional effort. Routine FFR measurement probably lead to more judicious use of stents and improved outcomes.
The OM-1 was opened and stented, then the LAD was stented 3 days later. The acute infarct-related artery was off the circumflex and the affected wall was posterior (STEMI). Blackwell Publishing 2009. The LAD had a 75% proximal lesion that by fractional flow reserve was hemodynamically significant.
He reported a history of ischemic cardiomyopathy with coronary stent placement approximately 10 years prior, but could not recall the specific artery involved. A 99% LAD occlusion was stented. Diagnosis of left ventricular hypertrophy in the presence of left anterior fascicular block: A reexamination of the 2009 AHA/ACC/HRS guidelines.
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