#IschemiaTrial#ISCHAEMIA#AHA19
🔹💊OMT only = PCI/CABG+OMT for MACE ⬇️ in pts w/ stable ischemic ❤️ dx with mod-severe ischemia on noninvasive testing
🔹💊OMT only <<< PCI/CABG+OMT for improved QOL/symptoms
#ACCFIT#AHAFIT
54 YO 👩🏾 w/Stage IV Lung CA presents with 24-48 hours of shoulder discomfort and left arm paresthesias. ECG with resolving ST segment elevation in II, III, aVF & Q waves. Troponin is 27. Hemodynamically 👍🏾No murmur. Used with permission. 1/2
CHIP case. Pt with NSTEMI, LVEF 30%, unstable. RCA CTO and JL4 dampens with LM engagement. Severe calcific LM disease. Not a surgical candidate. What’s your strategy? @BrianBergmark@kevinjamescroce