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Echo on the day after admission showed EF of 30-35% and antero-apical wall akinesis with an LV thrombus [these frequently form in complete or near complete (no early reperfusion) anterior STEMI because of akinesis/stasis] 2 more days later, this was recorded: ST elevation is still present. The LAD has reperfused early. This was recorded 2.5
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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