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The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment. She presented to the emergency department after a couple of days of chest discomfort. The last echocardiography 12 months ago showed HFmrEF.
Edits by Meyers and Smith A man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes, CVA, dual-chamber Medtronic pacemaker, presented to the ED for evaluation of acute chestpain. LAFB, atrialflutter, anterolateral STEMI(+) OMI. Triage ECG: What do you think? This is diagnostic of proximal LAD occlusion.
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