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In some cases the ischemia can be seen "through" the flutter waves, whereas in other cases the arrhythmia must be terminated before the ischemia can be clearly distinguished. Learning Points: Acute arrhythmias such as SVT, rapid AF, and atrial flutter may coexist and/or be caused by ischemia, or vice versa.
The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. The patient also has a history of AFib and HFmrEF ( = H eart F ailure with M inimally- R educed E jection F raction ). She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment.
They had a history of non-ischemic cardiomyopathy (EF 30%), as well as PCI with one stent. On the contrary — much ( if not most ) of the time, we begin arrhythmia treatment of a WCT before we know with 100% certainty what the rhythm is. Only AFib was induced during EP study.
It is asking for stenting all non-flow limiting lesion , if found, to carry high risk plaques by intracoronary Imaging. Top 10 Clinical Trials Preventive PCI on Stenosis With Functionally Insignificant Vulnerable Plaque PREVENT (ACC.24) 24) Microaxial Flow Pump in Infarct-Related Cardiogenic Shock DanGer Shock (ACC.24)
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