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It had started just after nursing her newborn, about an hour prior, and she described it as a severe non-pleuritic “pressure” radiating to the back. Troponins, echocardiogram An echocardiogram showed inferobasilar hypokinesis, further supporting a diagnosis of regional ischemia , likely of the area supplied by the RCA.
She contacted her neighbor, a nurse, for help. Her contrast enhanced echocardiogram is shown below in the parasternal short axis view. Immediate versus delayed invasive intervention for non-stemi patients. JACC: CardiovascularInterventions , 9 (6), 541–549. The patient presented to triage at around 10 PM.
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Cardiovascular Interventions 
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