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Patients with hypertension with ECG left ventricular hypertrophy ( LVH) have higher cardiovascular morbidity and mortality, but single ECG criteria may underestimate risk. Whether continued presence or new development of ECG LVH by 2 criteria can further concentrate risk during blood pressure lowering is unclear. Methods and Results.LV free wall rupture often presents as pulseless electrical activity and sudden bradycardia on ECG. Cardiac catheterization, coronary angiography, and ventriculography may be required in stable AMI patients before the surgical intervention to assess the severity and distribution of ischemia.
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