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This patient presented with intermittent chest pain and had an initial troponin of 18,000. This patient has concordant ST elevation in I and II, as well as excessive discordant elevation in V2-V4. The patient had a 99% mid-to-distal LAD lesion that was successfully stented.


The following is a review of the Sgarbossa Criteria for acute MI in patients with a LBBB (old or new).




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You can use Dragon on your phone when acessing Epic from home. This can also be used at a workstation in the ED if your PowerMic isn't working. Follow these instructions to set up (note, you will need to follow the link ON YOUR PHONE):


Nuance Dragon PowerMic Mobile App | Cone Health

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If you are new to the group or have recently purchased a new phone, follow this link to download and activate Haiku:


EpicCare Mobile Apps: Haiku and Canto | Cone Health

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