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The patient continued to have ischemia after PCI, and in fact had an episode of polymorphic VT shortly after while in the ICU. Determinants and prognostic implications of persistent ST-segment elevation after primary angioplasty for acute myocardial infarction: importance of microvascular reperfusion injury on clinical outcome.
The lesion was intervened on with balloon angioplasty and had subsequent TIMI 3 flow. Fortunately, he was extubated several days later in the ICU with intact baseline mental status and was discharged shortly thereafter to subacute rehab. There was initially TIMI 0 flow. His troponin I peaked at 97 ng/mL (very large MI!).
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