(b)(6).It was reported that myocardial infarction occurred.In (b)(6) 2015, the index procedure was performed.The target lesion was located in the mid left anterior descending (lad) artery with 90% stenosis and was 34 mm long with a reference vessel diameter of 2.75 mm.The target lesion was treated with pre-dilatation and placement of a 2.75 x 38 mm promus premier¿ stent.Post-dilatation was performed with 0% residual stenosis.One day post procedure, the patient was discharged on aspirin and clopidogrel.In (b)(6) 2015, the patient was hospitalized because of nausea, vomiting, diarrhea, and low grade fever.The patient was found to have infectious enteritis and reactive ascites.An electrocardiogram (ecg) showed a nonspecific st and t-wave abnormality and t-wave inversion on the anterior leads.The following day, ecg showed a t-wave abnormality and premature atrial complexes.A transthoracic echocardiogram revealed diffuse disease throughout but no new obstructive lesions, and patent right coronary artery (rca) and lad coronary stents.The patient underwent angiography without revascularization and patency of the coronary stents was confirmed.The location of the non st-segment elevation myocardial infarction (nstemi) was not identified.Four days later, an ecg showed a t-wave abnormality but the premature atrial complexes were no longer present.Seven days from the onset of symptoms, the nstemi was resolved and the patient was discharged.
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