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Although the attending crews did not consider the ECG pathognomonic for occlusive thrombosis, they nonetheless considered the patient high-risk for ACS and implored him to reconsider. It’s important to stress the presence of a normal QRS (i.e., As the conversation progressed, another ECG spontaneously printed. References 1] Smith, S.
It is possible there is microvascular dysfunction producing residual transmural ischemia. But this is most common when there is prolonged ischemia, and this patient had the fastest reperfusion imaginable! Here is the final angiogram following placement of a stent in the ostial RCA. She was defibrillated perhaps 25 times. Maclure, M.,
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