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1] European guidelines add "regardless of biomarkers". Refractory ischemic chest pain continued and trop increased to 160,000ng/L, with subtle convex anterior ST elevation: The patient was brought back to cath lab for stenting of LAD and balloon angioplasty to OM. Circulation 2014 2. But only 6.4% link] References 1.
These patients have worse outcomes: higher mortality, more CHF, higher biomarkers, and worse ejection fractions than the NonSTEMI patients with open arteries. Studies show that 30% of NonSTEMI have an occluded infarct artery at the time of angiography done 24 hours after presentation. This is because of subtle ECG findings. Marti D et al.
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