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Circulation, Volume 150, Issue Suppl_1 , Page A4139995-A4139995, November 12, 2024. Background:Although intracoronary acetylcholine (ACh) provocation testing is a guideline-recommended invasive standard for the diagnosis of vasospastic angina (VSA), ACh tests are largely underused in clinical practice globally. Recently, Rinaldi et al.
Circulation, Volume 150, Issue Suppl_1 , Page A4142012-A4142012, November 12, 2024. Patient underwent surgical closure of fistula and a 2-vessel coronaryarterybypassgraft surgery, with a LIMA pedicle graft to the LAD, and SV graft to the LCx.Postoperatively, patient was continued on medical therapy with improvement of symptoms.
Troponin elevation is dependent on presence or absence of occlusion (remember many OMI receive a diagnosis of NSTEMI), duration of occlusion (which is dependent on rapidity of therapy or the luck of spontaneous reperfusion), area of myocardium at risk, collateral circulation, and more. Circulation. Circulation, 137(19), p.e523.
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