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Images on the left panel show an example of coronary angiography, first-pass perfusion maps and stress and rest myocardial perfusion maps of a patient with cardiac amyloidosis. The coronaryangiogram is unobstructed and visual analysis of first-pass perfusion shows a global reduction in myocardial blood flow.
Diamond and Forrester accomplished this by first establishing the prevalence of coronary artery disease based on how clinically likely patients with chest pain symptoms were found to have coronary disease based on a coronaryangiogram. for epicardial coronary disease, and 1.1 - 11.1 for MINOCA patients.
How can biomarkers help us grade these ACSs? Strangely, we are also taught , “No ACS should be considered benign, until you see the coronary anatomy” I wish patients realise, how difficult it is to practice cardiology, for that matter any field of emergency medicine. It is next to foolishness to rush them to cath lab.
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