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Cardiology admitted him for observation with plans for next-day coronaryangiogram. The peak Troponin I confirmed myocardialinfarction. (A 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]
Angiogram Door to balloon time was 120 minutes (much too long) because of time taken for a CT. Coronaryangiogram showed 100% mid LAD occlusion for which she received a DES with excellent angiographic result. It was not SCAD (coronary dissection) Highest troponin I was 37,000 ng/L, but it was not measured to peak.
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