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It is prudent to understand, that even in systolic LV failure; it is the raised LVEDP that causes the symptoms and marks the limits of exercise capacity. We know a small ASD decompresses mitral stenosis, and the combination of ASD and MS, Lutembacher, is a well-known syndrome called Lutembacher. Probably in the thin membranous area.
As an exercise, lets calculate the equation for differentiating the ST elevation between benign early repolarization and LAD occlusion. Free wall rupture, VSD, Dresslers Syndrome, chronic CHF, anatomic LV aneurysm, LV thrombus, stroke, etc). LAD occlusion. Great case. Only viewed on my phone." Teaching points: 1.
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