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Below are 6 anecdotal cases of true complete left main occlusion with no collateral circulation: 3 have STE in aVR 1 has no ST shift in aVR 2 have STD in aVR The ECG can have a variety of presentations in LM Occlusion. You'll see that there is collateral circulation from the RCA. Widimsky P et al. Below is the angiogram.
This indicates that restoring normal blood circulation as quickly as possible will result in less damage. Allow the chest to rise between each compression to ensure proper circulation fully. Although both techniques have advantages and limitations, primary angioplasty is the chosen therapy in most cases.
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