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Vol. 69. Issue 5.
Pages 519 (May 2016)
Vol. 69. Issue 5.
Pages 519 (May 2016)
ECG Contest
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Response to ECG, April 2016
Respuesta al ECG de abril de 2016
Albert Ariza Solé
Unidad Coronaria, Área de Enfermedades del Corazón, IDIBELL, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
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Rev Esp Cardiol. 2016;69:44010.1016/j.rec.2015.11.031
Albert Ariza Solé
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With a diagnosis of Killip class IV anterior subacute myocardial infarction, the patient underwent emergent coronary angiography, which revealed chronic occlusion of distal circumflex artery and acute occlusion of proximal anterior descending artery (Figure). This led to implantation of a stent in anterior descending artery. Given his persistent instability, he underwent implantation of a left ventricular assist device, which resulted in an initial improvement, although he was unable to tolerate weaning. One week later, he was placed on the waiting list for cardiac transplantation. The outcome of the intervention was satisfactory and he was stable and asymptomatic at the time of discharge.

Copyright © 2015. Sociedad Española de Cardiología
Revista Española de Cardiología (English Edition)

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