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The case An older woman presented to the ED with dyspnea, diaphoresis, and chest pressure. She had a normal EF, and no significant CAD, and was taking flecainide to suppress the AF. It is easy to accidentally overdose. Figure-1: TOP — ECG #1 ( = the initial ECG performed in the ED). Note of Caution!
The procedure was described as very complex due to severe multivessel CAD, but ultimately PCI was successfully performed to the ostial LCX. Patients with complete left main occlusion usually die before arrival in the ED. It was noted that the other vessels may require later staged PCI and intravascular lithotripsy. Pre-intervention.
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