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A patient had a cardiacarrest with ventricular fibrillation and was successfully defibrillated. Coronary Angiography after CardiacArrest without ST-Segment Elevation. N Engl J Med [Internet] 2019;Available from: [link] Should all patients with shockable arrest be taken to angiography regardless of STEMI or No STEMI?
This 80 year old with a history of CABG had a cardiacarrest. He did not state he had chestpain, but, then again, he couldn't remember anything. He was resuscitated after fairly prolonged down time, but regained consciousness, though he was confused. There is concordant ST elevation in all inferior leads.
No chestpain. Figure-1: The initial ECG in today's case — obtained from an 86-year old man with presyncope, but no chestpain. ( Riera ARP, et al: AIVR: Chronology and Main Discoveries : Indian Pacing and EP Journal 10: 40-48, 2010. Th e patient was hemodynamically stable in association with this rhythm.
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