Coronary-Subclavian Steal Syndrome: An Infrequent Cause of Ischemia Post Coronary Artery Bypass Graft Surgery
Bibliographic record
Abstract
Coronary-subclavian steal syndrome (CSSS) is a rare complication of coronary artery bypass graft (CABG) surgery. We describe the case of a 72-year-old male patient who presented with chest pain and hypotension 24 h after CABG surgery. The angiography showed reduced blood flow to the left anterior descending (LAD) artery and severe left proximal subclavian artery stenosis (SAS). The patient underwent successful left subclavian artery stenting. All patients considered for CABG surgery should be screened with bilateral non-invasive brachial blood pressure prior to surgical referral and differences greater than 10 mm Hg between arms warrant additional testing. J Med Cases. 2017;8(8):256-258 doi: https://doi.org/10.14740/jmc2875w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".