Remove Cardiac Function Remove Coronary Artery Disease Remove Ischemia
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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

Cardiac function is poor, with akinesis of the LAD territory. There is no definite evidence of acute ischemia. (ie, Simply stated — t he patient was having recurrent PMVT without Q Tc prolongation, and without evidence of ongoing transmural ischemia. ( Some residual ischemia in the infarct border might still be present.

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What will you do for this patient transferred to you who is now asymptomatic?

Dr. Smith's ECG Blog

She requires maximal medical management per all current guidelines (including heparin and P2Y12 inhibitor per cardiology), as well as consideration for emergent cath in the case of persistent ischemia. So what will you do for this patient? They found an acute, total, thrombotic occlusion of the proximal LAD. They opened it. Patel et al.,

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