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EMS personnel found him seated on a bench, uncomfortable, but without gross distress. A second 12 Lead ECG was recorded: This is a testament to the dynamic nature of coronary thrombosis and thrombolysis. MICU transport was unremarkable. He waited for it to subside, but after 30 minutes of persistence he called 911.
The Case An 88-year-old woman with a history of dementia, major depressive disorder, and hyperlipidemia presented to the ED via EMS after a near syncopal episode. She was taken urgently to cardiac catheterization, which revealed mild diffuse coronary artery disease without occlusion and an estimated Ejection Fraction (EF) of 45%.
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