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Wow . A long time ago . I remember seeing ST elevation as I was talking to the patient - IV tpa given within 5 minutes of ST and down they went and pain resolved. Heparin was given

As an aside - I was an intern when we participated in the STK trial . The resident pulled the "fat" envelope for the anterior MI and the the "thin" one for the inferior MI . Colleagues report similar tactics for ICD placement in other hospitals . I recall it vividly.

I suppose the control of randomization is better now but while this excellent review of early studies is being presented -I wonder if any other geezer docs remember the way I do ? I am 67

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Yikes. Embarrassed to say, just like with Gissi 2, this was news to me, and does not reflect how I was taught in training, or the local standard of practice early in my career when lytics were still used. I really should have asked more questions….hopefully not too late to get into that habit.

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Steve - u are not alone ...... heparin always given ....

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