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Cardiology admitted him for observation with plans for next-day coronaryangiogram. 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] The peak Troponin I confirmed myocardial infarction. (A
Incidence of an acute coronary occlusion. Am J Med 2019, 132(5):622-630. New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. Incidence of an Acute Coronary Occlusion. American Journal of Medicine 132(5):622-630; May 2019.
Cardiology felt her chest pain to be, most likely, the result of coronary supply-demand mismatch in the context of HCM endothelial remodeling (i.e. Type II MI), however decided to pursue coronaryangiogram out of an abundance of caution. A mid-LAD culprit lesion was identified and stented. References Naidu, S. Tower-Rader, A.
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