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We administered adrenaline for cardiac excitation, dopamine for maintained bloodpressure, sodium bicarbonate to correct the acidosis, and multiple electric defibrillations. Fortunately, there was no obvious stenosis in the right coronary artery.
Electrocardiographic Criteria to Differentiate Acute Anterior ST Elevation MyocardialInfarction from Left Ventricular Aneurysm. Acute MI per se usually does not depress cardiacfunction and bloodpressure enough to cause syncope ( Mostafa et al — J Com Hosp Intern Med Perspect 13(4):9-12, 2023 - ).
Immediately after contrast injection into the LMCA, the patient had circulatory collapse, with a precipitous drop in bloodpressure. An Impella device was placed to maintain cardiac output and perfusion pressures. Cardiacfunction is poor, with akinesis of the LAD territory. Epinephrine infusion was begun.
Background and aims Current ESC guidelines on the management of patients after acute myocardialinfarction only include the evaluation of left ventricular (LV) function by assessment of the ejection fraction in addition to clinical risk scores to estimate the patient’s prognosis. Results During a median follow-up of 1.5 (0.5–4.2)
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