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A 55-year-old male, diabetic, smoker, presented with sudden onset severe retrosternal chest pain along with sweating. His pulse was 96/min, Blood pressure140/90 mm Hg: chest was b/l clear, Cardiovascular system examination revealed no abnormality. Electrocardiography showed gross ST segment depression in lead 2, 3, augmented vector foot and V5, V6 and tropinin-T was elevated. Echo showed no regional wall motion abnormality. With ejection fraction 60% he was diagnosed as unstable angina. He was managed medically with heparin, aspirin, clopidogrel, β blocker, ACE-inhibitor and nitrates. He had undergone angiography …
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