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The problem is difficult to study because angiographic visualization of arteries is not perfect, and not all angiograms employ intravascular ultrasound (IVUS) to assess for unseen plaque or for plaque whose rupture and ulceration cannot be seen on angiogram. Lindahl et al. Thus, intracoronary imaging modalities are crucial in this setting.
This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. These findings are diagnostic of an apical OMI as a result of LAD Occlusion.
Who needs to stay in hospital? a pericardial effusion) then it is perhaps a good idea to stay in hospital as the features point to a more complicated course. If there is fluid but it is not causing extrinsic compression then just by controlling the inflammation with medications, the fluid will resolve.
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