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In the SAMMPRIS trial, patients who had experienced recent TIA/CVA secondary to 70‐99% ICAS demonstrated an increased risk of recurrent stroke when treated with angioplasty and stenting compared to medical therapy alone [1]. The role of intracranial stenting in ICAS remains uncertain. 1‐year rate of stroke and death in stented patients [5].
These patients have worse outcomes: higher mortality, more CHF, higher biomarkers, and worse ejection fractions than the NonSTEMI patients with open arteries. Incidence Incidence, angiographic features and outcomes of patients presenting with subtle ST-elevation myocardial infarction. This is because of subtle ECG findings.
The Times also briefly touches on some other patients of Mustapha who had bad outcomes. Jeffery Dormu was a double board certified vascular surgeon who was paid $13 million dollars by Medicare alone between 2013 and 2017. The procedures were unsuccessful, and Ms. Hanna ultimately did need an amputation. 4.2.2017.
New electrocardiographic criteria for posterior wall myocardial ischemia validated by percutaneous transluminal coronary angioplasty model of acute myocardial infarction. These patients had worse outcomes than patients with ST depression without occlusion; half of these were circumflex. Am J Cardiol 2001; 87:970-4; A4. O'Gara et al.
7) The 2013 ACC/AHA STEMI guidelines consider this a “STEMI equivalent,” where thrombolytic therapy is not contraindicated (Evidence level B, no specific class of recommendation).(16) ST Elevation Myocardial Infarction Due To LEFT Main Culprit Lesions: Percutaneous Coronary Intervention Outcomes. Widimsky P et al.
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