Same case as mdr id: 2134265-2017-01955 and 2134265-2017-01956.Same patient as mdr id: 2134265-2017-00425 and 2134265-2017-00426.(b)(6).It was reported that myocardial infarction(mi), congestive heart failure, and restenosis occurred.In (b)(6) 2016, clinical status assessment indicated that the patient's qualifying condition was unstable angina.The patient was referred for cardiac catheterization.On the same day, index procedure was performed.Target lesion #1 was located in the proximal left circumflex(lcx) with 80% stenosis and was 12mm long with a reference vessel diameter of 2.75mm.Target lesion #1 was treated with direct placement of a 2.75x16mm synergy¿ drug-eluting study stent and the residual stenosis was 0%.The following day, the patient was discharged on dual antiplatelet therapy.In (b)(6) 2017, the patient had continued intermittent angina and was brought back for lad(left anterior descending) intervention.The entire length of previously placed stents (unknown manufacturer) in proximal and mid was treated with pre-dilatation and placement of two 2.75x38mm and one 2.25x38mm synergy¿ drug-eluting stents in an overlapping manner.Following post dilatation of all three stents, timi 3 flow was noted.Four days after, the patient was discharged on acetyl salicylic acid.Fourteen days after, the patient presented to emergency department with the complaints of acute left sided chest pain with minimal shortness of breath.The patient stated that this was similar to the prior chest pain.The patient was diagnosed with acute on chronic congestive heart failure(chf), st elevation myocardial infarction(stemi), anemia and was hospitalized for the same.Serial troponins showed elevation.Coronary angiography was planned.The patient's medication regimen was adjusted in response to the event.Sixteen days after, the patient was discharged on acetyl salicylic acid.
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It was further reported that in (b)(6) 2017, it was an unknown previously placed stent in rca that was treated with pre-dilatation and placement of two 3.50 x 38 mm synergy stents in an overlapping manner.Sixteen days after, in emergency, the patient had a mild elevation of troponin.The patient's brain natriuretic peptide (bnp) was found to be elevated and the patient was admitted to the hospital for congestive heart failure.
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