Cardiovascular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with acute retrosternal pain radiating to his left shoulder, which is worsened by exertion and associated with dyspnea; this is an acute coronary syndrome (ACS) until proven otherwise.\n\nAn ECG confirms the clinical suspicion by revealing ST-segment elevations in the anterolateral leads, i.e. this is an ST-elevation myocardial infarction (STEMI).\n\nAs soon as a STEMI is diagnosed, the very first action taken should be administration of aspirin; time is muscle and each and every second counts.\n\nIn addition, the 2013 American College of Cardiology Foundation\/American Heart Association (ACCF\/AHA) guideline for the management of STEMI recommends primary percutaneous coronary intervention (PCI) in all such patients who h"}]}

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