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Intravenous thrombolysis was administered in 39.6%. Patients treated with SR, CA, or combined technique were compared with multivariable logistic regression.RESULTSThere were 326 patients who met inclusion criteria, 56.1% Occlusion segments were PCA‐P1 (53.1%), P2 (40.5%), and other (6.4%).
Intravenous thrombolysis was administered in 39.6%. Previous studies in LVO and MeVO have demonstrated a correlation between good clinical outcomes and the first pass effect (FPE, eTICI 2c/3 on the first pass) but no differences in FPE rates or clinical outcomes between first‐line endovascular therapy techniques.1‐6
The commonest causes of MINOCA include: atherosclerotic causes such as plaque rupture or erosion with spontaneous thrombolysis, and non-atherosclerotic causes such as coronary vasospasm (sometimes called variant angina or Prinzmetal's angina), coronary embolism or thrombosis, possibly microvascular dysfunction.
He eventually underwent CAG, where a circumflex occlusion was stented. Here is an old (2015), but still very relevant, lecture on T-wave inversion by Dr. Smith: 40 minute lecture on T-wave inversion Learning points : T-waves are often dynamic in ACS and may hint at reperfusion and re-occlusion before the ST-segment does.
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