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Updated: Jun 5, 2026

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
How should I treat a spontaneously reperfused acute STEMI that involves the left main stem and proximal LAD?
Scott W Murray1, Periaswamy Velavan, David R Ramsdale
1Liverpool Heart and Chest Hospital, Liverpool, United Kingdom. Scott.Murray@doctors.org.uk
Background:
A 41-year-old female with 90 minutes of severe chest pain and ST-elevation in leads V1-V2 underwent emergency coronary angiography with a view to primary angioplasty.
Investigations:
Physical examination, electrocardiography, coronary angiography.
Diagnosis:
ST-segment elevation anterior myocardial infarction.
Management:
Coronary angiography, antiplatelet and antithrombotic therapy, statin, angiotensin-converting enzyme inhibitor, beta blocker, IVUS and percutaneous coronary intervention (PCI)
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