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A 79 year old woman was admitted to hospital because of acute, severe chest pain of 12 hours' duration. She had known coronary three vessel disease with prior coronary artery bypass surgery 19 year ago. In the coronary care unit, the ECG showed complete left bundle branch block and subacute myocardial infarction (creatine kinase 3903 U/l) was diagnosed. Because of the time delay, no thrombolysis was …