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Such a pattern is consistent with significant left main coronary artery stenosis. Angiography done after initial stabilization showed severe stenosis of distal left main coronary artery. This patient had reported with recent onset angina. ST segment elevation is noted in aVR. ST elevation was 2 mm in aVR and 1 mm in V1.
SMART 4 ( NCT04722250 ) studied patients with severe aortic stenosis and a small aortic annulus who underwent transcatheter aortic valve replacement (TAVR). The primary endpoint consisted of a composite of all-cause mortality, MI, stroke, coronary revascularization, or hospitalization for unstable angina. vs. 6.2%) and stroke (2.9%
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