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Again, it is common to have an ECG that shows apparent subendocardial ischemia after resuscitation from cardiac arrest, after defibrillation, and after cardioversion. The estimated left ventricular ejection fraction is 58 % Aortic stenosis, mild, 9.0 Academic Emergency Medicine 17(s1):S194; May 2010 Does this patient have ACS?
A patient had a cardiac arrest with ventricular fibrillation and was successfully defibrillated. IF the initial ECG following successful defibrillation shows evidence of acute OMI — such patients have much to gain from immediate cath with PCI. The proof of this is that only 5% of patients enrolled had acute coronary occlusion.
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