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History sounds concerning for ACS (could be critical stenosis, triple vessel), but differential also includes dissection, GI bleed, etc. With the history of Afib, CTA abdomen was ordered to r/o mesenteric ischemia vs ischemic colitis vs small bowel obstruction. 2 cases of Aortic Stenosis: Diffuse Subendocardial Ischemia on the ECG.
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