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If absolutely asymptomatic, and the stress test is negative, leaving it, as it is, is not a forbidden option, in spite of the fact, that the patient would have a single coronary arterial supply. 2011 Dec, 4 (12) 1320–1323 Acquired mimickers of left main atresia 1. Farhood Saremi Graydon Goodman , Alison Wilcox, J Am Coll Cardiol Img.
Annals of Emergency Medicine 2011; Suppl 58(4): S211. Murakami MM. Diagnosis of Type I vs. Type II Myocardial Infarction in Emergency Department patients with Ischemic Symptoms (abstract 102). Of course, writing “hypertensive emergency, underlying CAD with demand ischemia, or NSTEMI all remain on the differential” makes no sense.
Cardiology admitted him for observation with plans for next-day coronaryangiogram. Unfortunately, due to the patient’s abrupt exodus from the PCI center – without benefit of coronaryangiogram, or echo, for example – the disposition will forever remain unknown. [1] The peak Troponin I confirmed myocardial infarction. (A
The diagnostic coronaryangiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aortic valve. Aortic angiogram did not reveal aortic dissection. Heart 2011; 97 : 838-843 [link] 14. In the cath lab, the patient’s blood pressure remained low. J Am Coll Cardiol.
CT coronaryangiogram showed a hypoplastic RCA and dominant LCx. Although rare reduced lumen size of one or more coronary arteries has been reported as a cause of sudden death as its initial presentation in previously healthy young adults ( See MacFarland et al J Card Cases 4(3): E148-151, 2011 and Guo et al JACC 17(18)- 2021 ).
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