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50 yo with V fib has ROSC, then these 2 successive ECGs: what is the infarct artery?

Dr. Smith's ECG Blog

On follow up angiography, there was a large OM1 and small AV groove Cx/LPL visible as the vessel re-canalized LAD is noted to have diffuse 50% stenosis in the proximal segment and is occluded immediately beyond a small D1 RCA is a medium-large caliber vessel and supplies a medium rPDA, medium rPLA1, and three small rPLA branches. TIMI-0 flow.

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1 hour of CPR, then ECMO circulation, then successful defibrillation.

Dr. Smith's ECG Blog

pulmonary embolism, sepsis, etc.), distal stenosis or occluded small branches), and 3) nonischemic causes for myocyte injury (e.g., Spontaneous coronary artery dissection (SCAD) should be considered as a cause of MINOCA. The diagnosis of MINOCA should exclude: 1) other overt causes for elevated troponin (e.g., myocarditis).