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This has been similar in the MICU as well. Inferior STEMI s/p DES with significant residual LM/left sided obstructive CAD : TnI 11,344 on admission, suggesting significant infarct prior to presentation. MICU team considering bicarb infusion. In discussion with the patient's family, the patient would want full restorative cares.
Otherwise, no admission of CAD, HLD, or family history of sudden cardiac death. MICU transport was unremarkable. He described the pain as “nagging,” and equally not exacerbated by any kind of movement. A pertinent medical history remarkable for HTN was disclosed, which was well controlled on Rx Olmesartan.
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