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Past medical history includes coronary stenting 17 years prior. If you take old people with a history of MI (he had a stent), that percentage goes far higher since there is scar tissue that acts as a nidus for the PVCs that initiate VT. Episodes of angina over past couple of months had been progressive. Patient intubated.
We present the cumulative percutaneous coronary intervention (PCI) data of all comers (stable angina and acute coronary syndromes [ACS]) who presented to Hadi Clinic between January 2018 and December 2020. and the average number of stents 2.6. The radial approach was used in 544/567 (95.94%), the average SYNTAX score was 34.8 ± 9.6,
A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. The notes now refer to the patient being in cardiogenicshock, on pressors. Am J Emerg Med. 2014;32:e5–e8. J Cardiol Cases.
Beware crescendo angina in patient with known CAD ST Elevation in aVR Case 7. TIMI flow 0) is rare in the ED, as most either die before arrival or are recognized clinically due to cardiogenicshock. 67) Less than 3% of anterior STEMI has LM OMI, and most are recognized clinically due to cardiogenicshock. (68,
I have said before, treating angina with morphine and continuing non-emergent management is like taking the batteries out of an actively alarming smoke detector during a house fire and going back to sleep. After CULPRIT SHOCK, many shied away from multivessel PCI in the acute setting. The Queen of Hearts does not diagnose OMI.
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