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Remove Circulation Remove Coronary Artery Bypass Graft Remove Dysrhythmia
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An athletic 30-something woman with acute substernal chest pressure

Dr. Smith's ECG Blog

JULY 31, 2018

Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. Next day, t he patient was taken for an angiogram and found to have a reperfused LAD lesion with good flow that appeared to the angiographer as if it was a spontaneous coronary artery dissection. Circulation.

SCAD 52
SCAD Chest Pain Myocardial Infarction Ischemia 52
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). Circulation. Circulation 67, No. Circulation 1970;41:623-627 9. 2 The astute paramedic recognized this possibility and announced a CODE STEMI.

Ischemia 52
Ischemia Cardiogenic Shock Aortic Stenosis 52
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