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No reflow was caught red handed in a patient with acute anterior myocardial infarction undergoing rescue angioplasty
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A 58 year old male smoker who has hypertension and diabetes mellitus presented with acute anterior ST segment elevation myocardial infarction (MI). He was initially treated with thrombolytic therapy—30 mg of intravenous bolus dose of TNK-TPA (Tenecteplase, Metalyse) and heparin. A 90 minute angiogram showed a mid left anterior descending (LAD) 80% ulcerative hazy critical lesion with TIMI grade 2 flow down LAD territory (panel A). In view of ongoing chest pain, incomplete …