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

Dr. Smith's ECG Blog

This is diagnostic of myocardial infarction. Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. She felt more comfortable being admitted. Subsequent events: Later, before being taken to her room, the 2nd troponin returned at 1.01 Int J Cardiol. 2016;207:341–348.

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

Dr. Smith's ECG Blog

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). myocardial infarction), arrhythmias, valvular pathology, shunts, or outflow obstructions.