You are providing bag-mask ventilations to a patient in respiratory arrest. EKG Practice Test 1 This EKG practice test is designed to help you learn to recoginze all of the EKG rhythms that you will encounter during emergencies and during the AHA ACLS provider course. Transport the patient to a facility capable of performing PCI. Test your knowledge with our Advanced Cardiac Life Support Pre Test. Which is a contraindication to nitroglycerin administration in the management of acute coronary syndromes? You can participate in Quizlet for rhythm identification and cardiac rhythm interpretation. You have completed 2 min of CPR. What is a contraindication to nitrate administration? The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. ACLS. The recommend second dose of amiodarone is ? After attaching a cardiac monitor, the responder observes the following rhythm strip. You have completed your first 2-minute period of CPR. She is now extremely apprehensive. They rhythm shown here is seen on the cardiac monitor. A patient with STEMI has ongoing chest discomfort. What is the next action? The patient's lead II ECG is displayed below. Quizzes are an important part of preparing for ACLS examination and an effective way to learn different concepts, techniques and theory. What is your next action? What is the next most preferred route for drug administration? The monitor shows a regular narrow-complex QRS at a rate of 180/min. What is your next intervention? Right ventricular infarction and dysfunction. Which of the following is a sign of effective CPR? Give an immediate unsynchronized high-energy shock (defibrillation dose). To ensure the best experience, please update your browser. Texas High Plains Writers. EKG Practice Test 1 This EKG practice test is designed to help you learn to recoginze all of the EKG rhythms that you will encounter during emergencies and during the AHA ACLS provider course. What is the most appropriate action for the EMS team to perform next? acls-pretest-answers-2015 1/1 Downloaded from www.uppercasing.com on October. What is the recommended target temperature range for achieving therapeutic hypothermia after cardiac arrest? A patient is in cardiac arrest. What is your first action? What element of effective resuscitation team dynamics does this represent? Which is the most appropriate intervention to perform next? What is the maximum interval for pausing chest compressions? Prolonged interruptions in chest compressions. What is your next treatment? Which action increases the chance of successful conversion of ventricular fibrillation? What is the first drug/dose to administer? Learn acls pretest with free interactive flashcards. A thrid shock has just been administered. What is the recommended oral dose of aspirin for patients suspected of having one of the acute coronary syndromes? The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after 3 doses of nitroglycerin. Use these EKG practice tests to help you become proficient in your rapid rhythm identification. You are evaluating a 58-year-old man with chest pain. The next intervention is to. What action is recommended next? What intervention should you perform next? What should be done to minimize interruptions in chest compressions during CPR? What is your next action? Atropine has been administered to a toal does of 3 mg. A transcutaneous pacemaker has failed to capture. Free acls study questions to pass pressure in the pleural space is quizlet. Which rhythm requires synchronized cardioversion? This is the 1st of our free ACLS practice tests. ACLS Pretest Questions & Answers #1 - FREE Practice Test Take our free ACLS pretest. The monitor shows a regular wide-QRS at a rate of 180/min. You arrive on the scene with the code team. What is the appropriate dose of dopamine for this patient? For acls pdf you must go through real exam. As a free resource for our visitors, we have put together a practice quiz for each of the main AHA Advanced Cardiac Life Support cases. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. Hands-free pads allow for a more rapid defibrillation. The heart rate has not responded to vagal maneuvers. Improving patient outcomes by identifying and treating early clinical deterioration. What is the appropriate interval for an interruption in chest compressions? What is the purpose of a medical emergency team (MET) or rapid response team (RRT)? You are the team leader. The lead II ECG displays a regular wide-complex tachycardia. The blood pressure is 132/68 mm Hg, the pulse is 130/min and regular, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95%. What is the next step in your assessment and management of this patient? Oh no! What is your next action? Conduct a problem-focused history and physical examination. What is your next action? After you start an IV, what is the next action? The lead II ECG displays a wide-complex tachycardia. Which therapy is now indicated? What is the recommended dose of epinephrine for the treatment of hypotension in a post- cardiac arrest patient who achieves ROSC? The monitor shows a regular narrow-complex QRS at a rate of 180/min. His blood pressure is 180/100mm Hg. quizlet acls pretest answers - Bing Posted on 3-Jan-2021 [LATEST] Acls Pretest Answers Quizlet ACLS Quizzes 2019 Quizzes are an important part of preparing for ACLS examination and an effective way to learn different concepts, techniques and theory. Switch providers about every 2 minutes or every 5 compression cycles. The practice test consists of 10 multiple-choice questions that are derived from the ACLS Study Guide and adhere to the latest ILCOR and ECC guidelines. Bystanders are performing CPR. ACLS Rhythm Strips The quick identification of life-threatening rhythms in the critical care setting and in the ACLS certification setting usually does not involve looking directly at ACLS rhythm strips on paper, but rather it involves looking at a defibrillator or ECG monitor and rapidly evaluating a rhythm based upon what is seen on the monitor Acls pretest rhythm answers. Choose from 232 different sets of acls pretest flashcards on Quizlet. A rhythm check now finds asystole. He says he has no chest pain or shortness of breath. The heart rate has not responded to vagal maneuvers. What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? The initial atropine dose was ineffective, and your monitor/defibrillator is not equipped with a transcutaneous pacemaker. ACLS Pretest. What is the most important early intervention? You are called to the home of a 61-year-old male who began experiencing substernal chest pain while shoveling snow. You are evaluating a 48-year-old man with crushing substernal chest pain. Produces a small amount of blood flow to the heart. Which drug should be administered? An IV has been established. IV/IO drug administration during CPR should be. As a free resource for our visitors, we have put together a practice quiz for each of the main AHA Advanced Cardiac Life Support cases. The Precourse Self-assessment included on the Student CD is the desired method of What is the immediate danger of excessive ventilation during the post-cardiac arrest period for patients who achieve ROSC? Which best describes the guidelines for antiplatelet and fibrinolytic therapy? What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter is selected? polymorphic ventricular tachycardia - aka torsades, second degree AV block type 1 wenckenbach, The five links in the adult Chain of Survival, Type of breaths (not normal) that may be present in the first minutes after sudden cardiac arrest, To place the pads on the victims bare chest, Place one pad on the upper-right chest (below the collarbone) and place the other pad, to the side of the left nipple, with the top edge of the pad a few inches below the armpit, If the heart muscle resets and initiates an organized rhythm this is called. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain si ordered. The hospital CT scanner is not working at this time. What is the appropriate first medication? Her lead II ECG is below. What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in place? Usually … American Heart Association ACLS Pretest Answers Read More » Calculating Heart Rate - note strips on pretest are longer than 6 seconds. There is vascular access at the left internal jugular vein, and the patient has not been given any vasoactive drugs. The patient's 12-lead ECG shows ST-segment elevation in the anterior leads. Choose an appropriate indication to stop or withhold resuscitative efforts. You partner resumes chest compressions and an IV is in place. What is the recommended initial airway management technique? She is alert and oriented. Using the print version of the ACLS Precourse Self-Assessment Purpose Precourse preparation is essential to the success of students coming to an ACLS course. A patient's 12-lead ECG was transmitted by the paramedics and showed an acute MI. During post-ROSC treatment, the patient becomes unresponsive, with the rhythm shown here. A patient becomes unresponsive. If you can score 80% or higher, you'll get a discount on Certification or Renewal. The blood pressure is 58/32 mm Hg, the heart rate is 190/min, the respiratory rate is 18 breaths/min, and the pulse oximeter is unable to obtain a reading because there is no radial pulse. Identifying and treating early clinical deterioration. Table for Small Box Method To calculate the heart rate, count the number of 0.04 squares (or small boxes) between two QRS complexes (1500 divided by X = HR) Small Boxes from R to R 9 = 168 14 = … Begin CPR, starting with chest compressions. ACLS Certification Practice Test; ECG Rhythms; ... ACLS Certification Practice Test. For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who originally presented in ventricular fibrillation. Bag-mask ventilations are producing visible chest rise, and IV access has been established, Which intervention would be your next action? A second shock is given, and chest compressions are resumed immediately. Her blood pressure si 128/70mm Hg. It looks like your browser needs an update. High-quality chest compressions are being given. [ VIEW ANSWER] [ Find Similar] Two shocks have been delivered, and an IV has been initiated. Which intervention is most appropriate for the treatment of a patient in asystole? Her blood pressure is 120/78mm Hg. Which action is likely to cause air to enter the victim's stomach (gastric inflation) during bag-mask ventilation? Which is the next drug to anticipate to administer? EMS personnel arrive to find a patient in cardiac arrest. An IV is in place, and no drugs have been given. Which finding is a sign of ineffective CPR? The patient is receiving oxygen via nasal cannula at 2L/min, and an IV has been established. ACLS (Advanced Cardiac Life Support) Practice Test: Question Answers ACLS Practice Quiz will help you to prepare ACLS sepsis quizlet official online exam. What is the next action? When the patient arrives in the emergency department, the rhythm shown here is seen on the cardiac monitor. Team members tell you that the patient was well but reported chest discomfort and then collapsed. Vagal maneuvers have not been effective in terminating the rhythm. Which action is indicated next? A patient has sinus bradycardia with a heart rate of 36/min. Her blood pressure is 80/66mm Hg. A 53-year-old man has shortness of breath, chest discomfort, and weakness. The above findings are seen on a rhythm strip when a monitor is placed in the emergency department. Which drug and dose are recommended for the management of a patient in refractory ventricular fibrillation? What intervention should you perform next? The patient's lead II ECG appears below. A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV. What is the indication for the use of magnesium in cardiac arrest? Which drug should be given next? Start chest compressions of at least 100 per min. Cincinnati Prehospital Stroke Scale assessment. The use of quantitative capnography in intubated patients. A patient has been resuscitated from cardiac arrest. Vagal maneuvers have not been effective in terminating Two shocks and 1 dose of epinephrine have been given. Continue CPR while the defibrillator is charging. [LATEST] Acls Pretest Answers Quizlet ACLS Quizzes 2019 Quizzes are an important part of preparing for ACLS examination and an effective way to learn different concepts, techniques and theory. Which condition is an indication to stop or withhold resuscitative efforts? She has received adensoine 6mg IV for the rhythm shown here, without conversion of the rhythm. A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the medication is administered. He rates the pain as 8 on a scale of 1 - 10. First responders administered 160 mg of aspirin, and there is a patent peripheral IV. After resuming high-quality compressions, which action do you take next? What is the significance of this finding? {NEW} Acls Exam Answers 2020 Online Quizlet ACLS Quizzes 2019 Quizzes are an important part of preparing for ACLS examination and an effective way to learn different concepts, techniques and theory. What management step is your next priority? You have completed 2 minutes of CPR. A 49-year-old woman arrives in the emergency department with persistent epigastric pain. A responder is caring for a patient with a history of congestive heart failure. What is the recommended compression rate for performing CPR? The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after 3 doses of nitroglycerin. The patient's blood pressure is 102/59 mm Hg, the heart rate is 230/min, the respiratory rate is 16 breaths/min, and the pulse oximetry reading is 96%. A second dose of amiodarone is now called for. The patient is pale, diaphoretic, cool to the touch, and slow to respond to your questions. Administer the shock immediately and continue as directed by the AED. Consider terminating resuscitive efforts after consulting medical control. Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. Heartcode Acls 2015 Pretest Answers - Updated Daily 2020 acls-pretest-answers-2015 1/1 Downloaded from www.uppercasing.com on October. A patient is in pulseless ventricular tachycardia. Basic ACLS Practice Test. Which action improves the quality of chest compressions delivered during a resuscitation attempt? What is the next recommended intervention? A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60mm Hg. Obtain a 12-lead ECG and administer aspirin if not contraindicated. We thoroughly check each answer to a question to provide you with the most correct answers. Measure from the corner of the mouth to the angle of the mandible. Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? Pals Pretest Answers Quizlet Fullexams Com. What is the first treatment priority for a patient who achieves ROSC? Question 1 of 3. Three minutes after witnessing a cardiac arrest, one member of your team inserts an endotracheal tube while another performs continuous chest compressions. For soal post test acls you must go through real exam. What actions have the highest priority? A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. What intervention has the highest priority? A patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. A 49-year-old man has retrosternal chest pain radiating into the left arm. After verifying unresponsiveness and abnormal breathing, you activate the emergency response team. Which action do you take next? Health Details: American Heart Association Acls Pretest Answers .Health Details: american-heart-association-acls-pretest-answers 1/1 Downloaded from registroperspectivas.clave.com.ec on January 8, 2021 by guest 2015 American Heart Association Guidelines- 2015 Advanced Cardiovascular Life Support Instructor Manual-American Heart … What is the proper ventilation rate for a patient in cardiac arrest who has an advanced airway in place? The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. ACLS Study Guide 2016 Online Class Registration And. The patient's 12-lead ECG shows ST-segment elevation in the anterior leads. You see an organized, nonshockable rhythm on the ECG monitor. What is the recommended next step after a defibrillation attempt? hat is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a patient who achieves ROSC but is hypotensive during the post-cardiac arrest period? What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse rate of 80/min? What is the most appropriate intervention for a rapidly deteriorating patient who has this lead II ECG? A 35-year-old woman presents with a chief complaint of palpitations. A patient is in refractory ventricular fibrillation. The patient has no pulse. The monitor shows a regular narrow-complex QRS at a rate of 180/min. The patient is unconscious and in respiratory arrest. Which medication do you order next. A patent peripheral IV is in place. You find an unresponsive pt. Oh no! A 35-year old woman has palpitations, lightheadedness, and a stable tachycardia. A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. The patient is intubated. A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with the following lead II ECG rhythm: A patient has a witnessed loss of consciousness. A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. With the release of the 2006 ACLS materials, tools were provided to assist students in this preparation. Start chest compressions at a rate of at least 100/min. ACLS Practice Test 2020-2021 : Question Answers [QUIZ] : American Heart Association. High CPR is in progress and shocks have been given. EMS personnel measure a blood pressure of 140/90 mm Hg, a heart rate of 78/min, a nonlabored respiratory rate of 14 breaths/min, and a pulse oximetry reading of 97%. Which is a safe and effective practice within the defibrillation sequence? Administer 2 to 4 mg of morphine by slow IV bolus. The lead II ECG is shown below: A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. A patient has a rapid irregular wide-complex tachycardia. Which intervention is indicated first? He is asymptomatic, with a blood pressure of 110/70 mm Hg. An AED has previousy advised "no shock indicated." Click to rate this post! You are in the Emergency Department when a 54-year-old male arrives rubbing the center of his chest. How often should the team leader switch chest compressors during a resuscitation attempt? What is the next action after establishing an IV and obtaining a 12-lead ECG? Providing quality compressions immediately before a defibrillation attempt. Two shocks and 1 dose of epinephrine has been given. We discuss in these aha acls test questions and answers from different topics like acls quizlet, acls free study guide. Which action should you take immediately after providing an AED shock? The patient is intubated, and an IV has been started. What is the primary purpose of a medical emergency team (MET) or rapid response team (RRT)? Which situation BEST describes pulseless electrical activity? ACLS, PALS & BLS Quizzes. What is the recommended assisted ventilation rate for patients in respiratory arrest with a perfusing rhythm? Obstruction of venous return from the brain. What is the next action? The patient is intubated. What do you administer now? The blood pressure is 130/88 mm Hg, the heart rate is 110/min, the respiratory rate is 22 breaths/min, and the pulse oximetry value is 95%. How often should you provide ventilation? ACLS Pharmacology Pretest SET-2. What is the recommended second dose of adenosine for patients in refractory but stable narrow-complex tachycardia? Which best describe the recommended second does of amiodarone for this patient? aka Panhandle Professional Writers, based in Amarillo, Texas Which action do you take next? Ventricular fibrillation has been refractory to an initial shock. Which condition is a contraindication to therapeutic hypothermia during the post-cardiac arrest period for patients who achieve return of spontaneous circulation ROSC? What is your next action? What is the minimum depth of chest compressions for an adult in cardiac arrest? Family members found a 45-year-old woman unresponsive in bed. ... ECG rhythm interpretation for core ACLS rhythms; An AED does not promptly analyze a rythm. Provide continuous chest compressions without pauses and 10 ventilations per minute. Learn vocabulary, terms, and more with flashcards, games, and other study tools. What is the potential danger of using ties that pass circumferentially around the patient's neck when securing an advanced airway? During your assessment, your patient suddenly loses consciousness. An AED advises a shock for a pulseless patient lying in snow. You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. You arrive on the scene to find CPR in progress. The heart rate is dropping rapidly and now shows a sinus bradycardia at a rate of 30/min. What is the initial dose of atropine? Blood pressure is 104/70mm Hg. Your team looks to you for instructions. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. What is the usual post-cardiac arrest target range for PETCO2 when ventilating a patient who achieves return of spontaneous circulation (ROSC)? The ventricular rate is 138/min. What is the next action? ACLS Pre Test w/ Answers & Explanations. acls post test answer key 2020 quizlet. What is the most reliable method of confirming and monitoring correct placement of an endotracheal tube? EMS is transporting a patient with a positive prehospital stroke assessment. You are uncertain if a faint pulse is present. Home; About Us; Contact Us; FAQ Free ACLS Certification ECG Rhythms practice test. She becomes diaphoretic, and her blood pressure is 80/60 mm HG/ Which action do you take next? We discuss in these acls pretest answers from different topics like acls practice questions, acls pretest answers 2020. For that we provide american heart association acls pretest answers real test Acls post test answer key Free acls quizes to pass pretest for acls with answers. Blood pressure is … What is your next action? Q11. What is the next action? After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. What is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. Which action is included in the BLS survey? ACLS Practice Test: Question Answers 2020-2021 [QUIZ]: American Heart Association (AHA) Advanced Cardiac Life Support Practice Test: Question Answers ACLS Practice Quiz will help you to prepare ACLS sepsis quizlet official online exam. Which action is a componant of high-quality chest comressions? Be sure oxygen is not blowing over the patient's chest during the shock. You observe the following rhythm on the cardiac monitor. Start studying ACLS EKG Review. The ECG monitor displays the lead II rhythm below, and the patient has no pulse. The patient had resolution of moderate (5/10) chest pain with 3 does of sublingual nitroglycerin. A patient was in refractory ventricular fibrillation. How does complete chest recoil contribute to effective CPR? what do you do after return of spontaneous circulation, chest pain or shortness of breath is present, how do you treat non-symptomatic bradycardia. When the patient arrives in the emergency department, the rhythm shown here is seen on the cardiac monitor. After the first shock, the ECG screen displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. The patient did not take aspirin because he has a history of gastritis, with was treated 5 years ago. What is the appropriate rate of chest compressions for an adult in cardiac arrest? An antiarrhythmic drug was given immediately after the third shock. In which situation does bradycardia require treatment? Let us know about it through the REPORT button at the bottom of the page. The lead II ECG is displayed below. A 12-lead ECG confirm a supraventricular tachycardia with no evidence of ischemia or infarction. Acls Answers 2021 - acscu.net. First responders administered 160 mg of aspirin, and there is a patent peripheral IV. A patient is in refractory ventricular fibrillation and has received multiple appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300mg IV. A patient presents to the emergency department with new onset of dizziness and fatigue. What is the recommended duration of therapeutic hypothermia after reaching the target temperature? A patient is in refractory ventricular fibrillation. The lead II ECG displays sinus rhythm. A 57-year-old woman has palpitation, chest discomfort, and tachycardia. What is the initial priority for an unconscious patient with any tachycardia on the monitor? What is the recommended initial intervention for managing hypotension in the immediate period after return of spontaneous circulation (ROSC)? Use of a phosphodiestrase inhibitor within the previous 24 hours. Her blood pressure is 102/72 mm Hg. You are the code team leader and arrive to find a patient with CPR in progress. The CT scan is negative for hemorrhage. A defibrillator is present. A 68-year-old woman experienced a sudden onset of right arm weakness. Posted on 16-Jan-2020. Which is an appropriate and important intervention to perform for a patient who achieves ROSC during an out-of-hospital resuscitation? An 80-year-old woman presents to the emergency department with dizziness. She had been taking oral antacids for the past 6 hours because she thought she had heartburn. Use these EKG practice tests to help you become proficient in your rapid rhythm identification. Ekg Practice Exam 100 Questions - fullexams.com At ExamEdge Ekg practice exam 100 questions. What is the initial does of atropine? What is your next step? What is the recommended compression rate for high-quality CPR? The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. High-quality CPR is in progress. What management step is your next priority? After calling for help and determining that the patient is not breathing, you are unsure whether the patient has a pulse. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. The lead II ECG reveals this rhythm: What is the recommended energy dose for biphasic synchronized cardioversion of atrial fibrillation? Upon arrival in the emergency department, the initial blood pressure is 138/78 mm Hg, the pulse rate is 80/min, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95% on room air. A patient in respiratory failure becomes apneic but continues to have a strong pulse. It looks like your browser needs an update. Ventricular fibrillation has been refractory to a second shock. A patient is in cardiac arrest. High-quality CPR is in progress. The blood pressure is 142/98 mm Hg, the pulse is 200/min, the respiratory rate is 14 breaths/min, and pulse oximetry is 95% on room air. What is the preferred method of access for epi administration during cardiac arrest in most pts? The patient's heart rate is 180/min, blood pressure is 110/70 mm Hg, respiratory rate is 18 breaths/min, and pulse oximetry reading is 98% on room air. The Advanced Cardiovascular Life Support (ACLS) Provider Course is designed for healthcare providers who either direct or participate in the management of cardiopulmonary arrest or other cardiovascular emergencies. The initial blood pressure is 118/72 mm Hg, the heart rate is 92/min and regular, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 96%. If no pathway for medication administration is in place, which method is preferred? Which of the following is an acceptable method of selecting an appropriately sized oropharyngeal airway (OPA)? A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction.
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