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A 68 year old man was admitted for an acute anterior ST segment elevation myocardial infarction, three hours after the pain first started. The physical examination showed no evidence of heart failure (Killip class 1). The ECG revealed an anterior ST segment elevation without conduction disturbances (panel A). Echocardiography confirmed anterior hypokinesia with compensatory hyperkinesia of the inferior wall. The patient was put on …
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