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LAD Stent - cautionary tale? Do not be a fucking moron like me

gauge22-v2

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Thought about not posting this, then reconsidered as there might be others in a similar spot.

Heart disease is in the family. Dad died at 45 from a massive heart attack. Due to this I have been quite active on getting scans done, stress tests etc. The last big round of these was in 2023 (if I recall correctly) included imaging and a stress test (with the dye etc). They came back basically all clear except for "athletes heart".

I posted a thread about training and rest periods by using HR to determine when you are "rested" and ready to go. The reason was I did some crazy leg shit, 3 second eccentrics, holds etc with rear elevated split squats. HR this day hit 150s. At this point I had a weird sensation in my lungs/sternum. Chalked it up to the HR and cardio thresholds etc. The workout was April 11th. The feeling dissipated within 60 mins.

On the 12th/13th I did push and pull respectively. HR hit low 140s. No issues at all felt great. Not even a tiny murmur, twinge of pain etc.

April 14th I went in to do legs and did a very similar workout. Last exercise were those rear elevated things again. Heart rate was lower as I took longer rest periods. Last working set I got the same feeling after my right leg. Completed the left leg, put weights away and started to drive home.

The pain in the sternum was getting worse.

Drove straight to the urgent care and they tested me for troponins. Initial test was very high. To ensure it was not exercise induced, which it can be, they retested again at 2 hours. Troponin levels continued to increase exponentially.

During this time the pain in my sternum subsided like it did on April 11th. I felt perfectly fine.

Well they called an ambulance and sent me to the Cardiac ward of the hospital.

Ended up in the hospital for 3 nights. Numerous tests and a catheter angiogram.

The found a 90% blockage in the LAD artery (widow maker) and put in a stent.

- My cholesterol has always been on the poor side, but not terrible by any means.
- I have gotten tons of bloods done in the USA (APO etc) and there was no true warning signs
- I eat very healthy, do a ton of cardio (step mill/walking etc)
- No smoking, no alcohol, etc etc

I was told numerous times I should be dead as realistically I had two heart attacks in 4 days.

Lifting is not over for me, but I have to moderate how I lift and it will be weeks before going back to the gym.

Silver lining is the cardiac doctors suggested that my overall quality of life will be exponentially better as I have been living with a "kinked hose" for probably 6-7 years.

I do have another 70% blockage that will be cleaned up on an outpatient basis. Was told this is quite minor due to the artery.

I would love to hear from others that have had a stent put in.

The morale of my story, and hopefully a warning to others, is IF you have a high tolerance for pain/discomfort PLEASE do not ignore shit like this.








1776513620584.png
 
You should really read on AI of steps you can take (the info is accurate) - I had a Coronary Artery Angiogram done in December showing I had two 90% blockages in my LAD followed by a third 70% blockage more distally in the LAD - I never had any angina symptoms like you and could exercise at will with a HR of 160 if I wanted - so I was definitely atypical - I went in for a catheter expecting stenting - turned out the image was creating a shadow effect and the lesions were deemed medically insignificant - obviously you have plaque lesions - you should drive your LDL as low as possible with Crestor and Repatha - this will remove the LDL (fat) element from the plaques - shrinking them and stablizing them (more calcified and less likely to rupture) - newer research shows processed foods create inflammation which also increases plaque formation - you need a mediteranean diet - you need a TON of low to moderate intensity cardio daily - this may slightly reverse plaque and definitely slows progression - it also helps with arterial health making your arteries wider and more pliable - you can never take anything more the TRT - I would also take daily aspirin - you're in an ultra high risk category - and you could easily live another 40 years if you take the right steps and do them religiously - I would also take mounjaro or reta - they are already treating heart attack patients with GLPs
 
You should really read on AI of steps you can take (the info is accurate) - I had a Coronary Artery Angiogram done in December showing I had two 90% blockages in my LAD followed by a third 70% blockage more distally in the LAD - I never had any angina symptoms like you and could exercise at will with a HR of 160 if I wanted - so I was definitely atypical - I went in for a catheter expecting stenting - turned out the image was creating a shadow effect and the lesions were deemed medically insignificant - obviously you have plaque lesions - you should drive your LDL as low as possible with Crestor and Repatha - this will remove the LDL (fat) element from the plaques - shrinking them and stablizing them (more calcified and less likely to rupture) - newer research shows processed foods create inflammation which also increases plaque formation - you need a mediteranean diet - you need a TON of low to moderate intensity cardio daily - this may slightly reverse plaque and definitely slows progression - it also helps with arterial health making your arteries wider and more pliable - you can never take anything more the TRT - I would also take daily aspirin - you're in an ultra high risk category - and you could easily live another 40 years if you take the right steps and do them religiously - I would also take mounjaro or reta - they are already treating heart attack patients with GLPs

Thank you for your insight/suggestions.

I would suggest to you that a 90% blockage that it is likely a matter of time before you have an episode like I did. 90% is not insignificant. If you have any chest pain please do not be an idiot like me.

Cardio:

I was averaging 26 mins of step mill everyday along with 70-90 minutes of walking. Spring-Fall I average at least one good/decently hard hike a week for around 4-6hours. Cardio was not the issue, nor will it be as I progress through getting healed up.

Meds:

My new stack:

ASA 81mg/day
Ticagelor 90mg/day (anti coagulant for stent. Will be on this for a year)
Rosuvastatin 40mg/day (this sort of freaks me out as it is very high and at this level, combined with my kidney function, is concerning)
Metoprolol 25mg 2x/day (Heart rate. Reta would fuck with this as it increases heart rate)
Candesartan 4mg/day
Nitro spray in case of chest pain


Diet:

I eat extremely well, it is not the diet at all that contributed imo. I supplement heavy with fish oils as well. I can count on one hand the amount of processed/dinners out I have in a year. <- The lipid issue is rooted in genetics for sure. However the levels were not terrible especially when looking at the various ratios.

I am going to make slight changes. I live on fritata (2-3 times a day) and will be adding in avocado, so that will up my "good fats". Probably get my carbs down quite a bit since I can't workout for many, many weeks.

Reta:

I spoke at length to the Dr about this as I disclosed I was on Reta and everything else (GH etc etc). She was surprisingly up on the drug despite it being unapproved. She spoke about how it can change your heart's "timing" (my words) and cause abnormal beat patterns. It also increases the HR, which is counter to a drug I have been prescribed. Her take was if you separate out the obese from the trials there is very little benefit whatsoever when you take into account it truly does fuck with your hearts normal operation. Is she an expert? Nope, but I do not think anyone is.

I noticed this quite a bit with my HR tracking since taking reta. It went up roughly 10-12BPM compared to baseline. If you look at my LLM/AI post you can see I am a true data nerd and track everything.

Reta can help with lipids for sure. However a statin does this without the negative consequences of reta.

Test:

Agreed. This was a back and forth with her. I have been on TRT scripts for 8, or maybe 9, years now. She did state it absolutely contributes to a certain degree but the overwhelming factor is genetic predisposition.

I am going to sit at the 100mg/week indefinitely. I may go to the 10mg/day like I read about on another thread.

Silver lining:

Living with a 90% "kinked hose" on the main artery has to have a huge impact on day-to-day life, exhaustion (which I have been battling) etc.

Strangely since the stent I have an odd feeling in my chest. Reading about it is that the heart is now "What the fuck is happening?!?!" as the blood flow has dramatically increased.

I have also suffered bad sleep. I have slept 9 hours solid for the last two nights. Prior my garmin watch showed very high stress while sleeping. Like magic now my sleep "stress" is non-existent now. Sure it is garmin, so who knows, but that is quite interesting.


Something I found quite odd in the cardiac ward was they had zero issues about coffee.

There was this hugely obese guy in my room and we were talking. He was in for his 4th stent. Had the procedure and fuck me...his family showed up with BAGS of Mcdonalds the next day!! WHAT THE FUCK!?!?

I am going to layer my recovery onto a "Fuck you back fat" journal I had going. Hoping some others can get some value out of my recovery etc.
 
Thank you for your insight/suggestions.

I would suggest to you that a 90% blockage that it is likely a matter of time before you have an episode like I did. 90% is not insignificant. If you have any chest pain please do not be an idiot like me.

Cardio:

I was averaging 26 mins of step mill everyday along with 70-90 minutes of walking. Spring-Fall I average at least one good/decently hard hike a week for around 4-6hours. Cardio was not the issue, nor will it be as I progress through getting healed up.

Meds:

My new stack:

ASA 81mg/day
Ticagelor 90mg/day (anti coagulant for stent. Will be on this for a year)
Rosuvastatin 40mg/day (this sort of freaks me out as it is very high and at this level, combined with my kidney function, is concerning)
Metoprolol 25mg 2x/day (Heart rate. Reta would fuck with this as it increases heart rate)
Candesartan 4mg/day
Nitro spray in case of chest pain


Diet:

I eat extremely well, it is not the diet at all that contributed imo. I supplement heavy with fish oils as well. I can count on one hand the amount of processed/dinners out I have in a year. <- The lipid issue is rooted in genetics for sure. However the levels were not terrible especially when looking at the various ratios.

I am going to make slight changes. I live on fritata (2-3 times a day) and will be adding in avocado, so that will up my "good fats". Probably get my carbs down quite a bit since I can't workout for many, many weeks.

Reta:

I spoke at length to the Dr about this as I disclosed I was on Reta and everything else (GH etc etc). She was surprisingly up on the drug despite it being unapproved. She spoke about how it can change your heart's "timing" (my words) and cause abnormal beat patterns. It also increases the HR, which is counter to a drug I have been prescribed. Her take was if you separate out the obese from the trials there is very little benefit whatsoever when you take into account it truly does fuck with your hearts normal operation. Is she an expert? Nope, but I do not think anyone is.

I noticed this quite a bit with my HR tracking since taking reta. It went up roughly 10-12BPM compared to baseline. If you look at my LLM/AI post you can see I am a true data nerd and track everything.

Reta can help with lipids for sure. However a statin does this without the negative consequences of reta.

Test:

Agreed. This was a back and forth with her. I have been on TRT scripts for 8, or maybe 9, years now. She did state it absolutely contributes to a certain degree but the overwhelming factor is genetic predisposition.

I am going to sit at the 100mg/week indefinitely. I may go to the 10mg/day like I read about on another thread.

Silver lining:

Living with a 90% "kinked hose" on the main artery has to have a huge impact on day-to-day life, exhaustion (which I have been battling) etc.

Strangely since the stent I have an odd feeling in my chest. Reading about it is that the heart is now "What the fuck is happening?!?!" as the blood flow has dramatically increased.

I have also suffered bad sleep. I have slept 9 hours solid for the last two nights. Prior my garmin watch showed very high stress while sleeping. Like magic now my sleep "stress" is non-existent now. Sure it is garmin, so who knows, but that is quite interesting.


Something I found quite odd in the cardiac ward was they had zero issues about coffee.

There was this hugely obese guy in my room and we were talking. He was in for his 4th stent. Had the procedure and fuck me...his family showed up with BAGS of Mcdonalds the next day!! WHAT THE FUCK!?!?

I am going to layer my recovery onto a "Fuck you back fat" journal I had going. Hoping some others can get some value out of my recovery etc.
Just keep in mind a blockage of that degree is a reflection of what you were doing 10 years ago and not last year.

If you had 10 years of ongoing bloodwork to review with ESR, CRP, full lipid panel, homocysteine etc you could likely see the patterns.

Remember blockages and plaque builds up as a protective measure against damage or inflammation in the artery. This is a very slow process.

The diet and lifestyle you live now is likely helping manage things. Adding the right interventions can help, being smart with PED’s and really watching inflamation and bad cholesterol will be key going forward.

So many guys in this sport are quick to abandon this lifestyle (the good parts) when a heart scare happens and that can quickly get you right back to what started it 10 years ago. Keep training, eating clean, doing cardio and be smart with PED’s.

Glad you caught it when you did. Sounds like you have a good cardiology team as many would have pushed you to do bypass with it being the LAD.
 
Wow brother. Wishing you the best. Iirc - you work in finance/accounting. So do I. Do you think stress or sitting at a desk (assuming you do?) plays any role in this? (Also the end of tax season is super rough for most cpas i know).
 
Thought about not posting this, then reconsidered as there might be others in a similar spot.

Heart disease is in the family. Dad died at 45 from a massive heart attack. Due to this I have been quite active on getting scans done, stress tests etc. The last big round of these was in 2023 (if I recall correctly) included imaging and a stress test (with the dye etc). They came back basically all clear except for "athletes heart".

I posted a thread about training and rest periods by using HR to determine when you are "rested" and ready to go. The reason was I did some crazy leg shit, 3 second eccentrics, holds etc with rear elevated split squats. HR this day hit 150s. At this point I had a weird sensation in my lungs/sternum. Chalked it up to the HR and cardio thresholds etc. The workout was April 11th. The feeling dissipated within 60 mins.

On the 12th/13th I did push and pull respectively. HR hit low 140s. No issues at all felt great. Not even a tiny murmur, twinge of pain etc.

April 14th I went in to do legs and did a very similar workout. Last exercise were those rear elevated things again. Heart rate was lower as I took longer rest periods. Last working set I got the same feeling after my right leg. Completed the left leg, put weights away and started to drive home.

The pain in the sternum was getting worse.

Drove straight to the urgent care and they tested me for troponins. Initial test was very high. To ensure it was not exercise induced, which it can be, they retested again at 2 hours. Troponin levels continued to increase exponentially.

During this time the pain in my sternum subsided like it did on April 11th. I felt perfectly fine.

Well they called an ambulance and sent me to the Cardiac ward of the hospital.

Ended up in the hospital for 3 nights. Numerous tests and a catheter angiogram.

The found a 90% blockage in the LAD artery (widow maker) and put in a stent.

- My cholesterol has always been on the poor side, but not terrible by any means.
- I have gotten tons of bloods done in the USA (APO etc) and there was no true warning signs
- I eat very healthy, do a ton of cardio (step mill/walking etc)
- No smoking, no alcohol, etc etc

I was told numerous times I should be dead as realistically I had two heart attacks in 4 days.

Lifting is not over for me, but I have to moderate how I lift and it will be weeks before going back to the gym.

Silver lining is the cardiac doctors suggested that my overall quality of life will be exponentially better as I have been living with a "kinked hose" for probably 6-7 years.

I do have another 70% blockage that will be cleaned up on an outpatient basis. Was told this is quite minor due to the artery.

I would love to hear from others that have had a stent put in.

The morale of my story, and hopefully a warning to others, is IF you have a high tolerance for pain/discomfort PLEASE do not ignore shit like this.








View attachment 250560

Hey brother, glad you’re ok and you caught this in time. Must have been super scary. I’m glad you decided to post this as I have a situation of my own though not as advanced and I’m still young.

How old are you?

As @bbxtreme said; this is more of what the last 10-15 years of your lifestyle were like more so than the last 1-3. Do you mind elaborating on what that looked like for you? AAS, Diet, Lifestyle etc? That’ll tell a deeper story.

You said you had stress tests done among other things, with dye etc. Did none of these tests ever show any calcified plaque, blockages etc? You never got a CT Calcium or CT Angiogram done?

I’m 36 and I’ve gotten CT Calcium score which came back at 15, which was located in the LAD as well, but it only shows calcified plaque, which caused me to seek a Sports Cardiologist and get a CT Angiogram (thankfully he was super cool with being preventative considering my age).

The CTA showed the same calcified plaque with minimal soft plaque in the same area, though the cardiologist said it could just be some “shadowing” of the image, just to be precautious and preventative, they don’t rule it out. I was categorized as “Mild” Stenosis (25%-49%) which sounds crazy to me but apparently it’s non-obstructive and as long as I manage lipids (which I do) and lifestyle, I shouldn’t have any problems in the future and may even be able to slowly reverse it. My SC also said that he predicts in the next 10-15 years they’ll have advancements in medicine to be able to completely prevent heart disease and reverse it. So that was nice to hear.

My situation couldn’t be concluded as genetic, per se. My biological father had a heart attack in his late 50’s but he was out of shape, obese for his height, stressed out business guy, ate absolutely terrible greasy foods every meal, every day and every single day drank a 2L of Coke with dinner for decades. Also what my lifestyle looked like 10+ years ago was an absolute disaster, I’ve never been obese or even too out of shape (Thank you mom’s side for genetics), but I was partying daily, drinking daily, rec drugs daily, eating whatever etc. He said that was most likely the cause with maybe some minor genetic factors but that definitely my lifestyle was conducive to high inflammation and cardiac stress.

Though I’ve been sober for 9 years and although I do like my cheat meals/sweets here and there, I’m very active, extremely, compared to the average person, and with no serious diet restrictions and my activity level and zero medicinal interventions my Apo B is around 65. I was prescribed Repatha which I’ll start taking this week, Doc wants my Apo B and LDL as low as possible to prevent any further progression and to possibly reverse some of this.

Thank you again for posting and sharing your story.
 
Can you share stats? Age, PED usage years

Thank you!
 
Glad to hear you're ok and everything went well with the procedure. It must have been scary to say the least.
 
The 40mg of Crestor can cause sides - you are much better off taking a lower dose and adding Repatha - it will drop ur LDL to the 30 to 50 range - much mor effective than just a high dose statin - ur LDL needs to be in the 40 range
 
The 40mg of Crestor can cause sides - you are much better off taking a lower dose and adding Repatha - it will drop ur LDL to the 30 to 50 range - much mor effective than just a high dose statin - ur LDL needs to be in the 40 range
Most insurance companies won't cover Repatha unless you have documentation that you have tried statins and can't take them due to side effects.
 
Wow brother. Wishing you the best. Iirc - you work in finance/accounting. So do I. Do you think stress or sitting at a desk (assuming you do?) plays any role in this? (Also the end of tax season is super rough for most cpas i know).

Absolutely!

I am in industry, always have been, but crushing deadlines/managing cash etc can be very high stress. I think this is 50% a "me" problem though as I have very high standards for my work, coworkers work, and I always treat the companies like they are my own.

I have been actively trying to fix this mental state and incorporate less of "giving a shit".

After all when things go sideways you just get let go anyhow... :(
 
Just keep in mind a blockage of that degree is a reflection of what you were doing 10 years ago and not last year.

If you had 10 years of ongoing bloodwork to review with ESR, CRP, full lipid panel, homocysteine etc you could likely see the patterns.

Remember blockages and plaque builds up as a protective measure against damage or inflammation in the artery. This is a very slow process.

The diet and lifestyle you live now is likely helping manage things. Adding the right interventions can help, being smart with PED’s and really watching inflamation and bad cholesterol will be key going forward.

So many guys in this sport are quick to abandon this lifestyle (the good parts) when a heart scare happens and that can quickly get you right back to what started it 10 years ago. Keep training, eating clean, doing cardio and be smart with PED’s.

Glad you caught it when you did. Sounds like you have a good cardiology team as many would have pushed you to do bypass with it being the LAD.

Love your posts btw!

The biggest trend on my bloods is the HDL. It has always been below the target threshold. LDL crept up on a few tests, but not to a terrible level. Except for when I did 4 weeks of Anavar a few years back. This absolutely crushed my lipids. I track these in excel and noticed nothing major. Going to dump into Claude for a clean version and see if the LLM can identify trends for curiosity.

Absolutely genetics here. Dad dying at 46.

I will add a caveat that I am in Canada so things like a calcium score are basically not accessible unless you present symptoms.

Cardiac team is top notch. FYI it is the libin institute in Calgary, AB.

I did a heart scan, stress test etc a few years back. I think it was 2022 or so. All the results were quite good. The Drs were all very happy with the results as it showed zero issues other than "athletes" heart.

Bizarre those tests did not pick up on anything. Would have been nice to catch this at that time instead of basically having a heart attack.

I will not abandon the lifestyle and fitness component. Approach has to change obviously.

Truth be told I was destitute for a good 36 hours. Now my mindset is to approach it like everything else in life "How do you eat an elephant?". One bite at a time.

I had a grand total of 2 15 minute walks at 15min/km pace yesterday.
 
Hey brother, glad you’re ok and you caught this in time. Must have been super scary. I’m glad you decided to post this as I have a situation of my own though not as advanced and I’m still young.

How old are you?

As @bbxtreme said; this is more of what the last 10-15 years of your lifestyle were like more so than the last 1-3. Do you mind elaborating on what that looked like for you? AAS, Diet, Lifestyle etc? That’ll tell a deeper story.

You said you had stress tests done among other things, with dye etc. Did none of these tests ever show any calcified plaque, blockages etc? You never got a CT Calcium or CT Angiogram done?

I’m 36 and I’ve gotten CT Calcium score which came back at 15, which was located in the LAD as well, but it only shows calcified plaque, which caused me to seek a Sports Cardiologist and get a CT Angiogram (thankfully he was super cool with being preventative considering my age).

The CTA showed the same calcified plaque with minimal soft plaque in the same area, though the cardiologist said it could just be some “shadowing” of the image, just to be precautious and preventative, they don’t rule it out. I was categorized as “Mild” Stenosis (25%-49%) which sounds crazy to me but apparently it’s non-obstructive and as long as I manage lipids (which I do) and lifestyle, I shouldn’t have any problems in the future and may even be able to slowly reverse it. My SC also said that he predicts in the next 10-15 years they’ll have advancements in medicine to be able to completely prevent heart disease and reverse it. So that was nice to hear.

My situation couldn’t be concluded as genetic, per se. My biological father had a heart attack in his late 50’s but he was out of shape, obese for his height, stressed out business guy, ate absolutely terrible greasy foods every meal, every day and every single day drank a 2L of Coke with dinner for decades. Also what my lifestyle looked like 10+ years ago was an absolute disaster, I’ve never been obese or even too out of shape (Thank you mom’s side for genetics), but I was partying daily, drinking daily, rec drugs daily, eating whatever etc. He said that was most likely the cause with maybe some minor genetic factors but that definitely my lifestyle was conducive to high inflammation and cardiac stress.

Though I’ve been sober for 9 years and although I do like my cheat meals/sweets here and there, I’m very active, extremely, compared to the average person, and with no serious diet restrictions and my activity level and zero medicinal interventions my Apo B is around 65. I was prescribed Repatha which I’ll start taking this week, Doc wants my Apo B and LDL as low as possible to prevent any further progression and to possibly reverse some of this.

Thank you again for posting and sharing your story.

I am 55.

Nothing came up on the tests, so that is where they stopped. A calcium score would have displayed this no doubt. I honestly should have demanded this, instead of just accepting the other tests results.

My father died at 46. He did not eat terribly and he was a top notch athlete in college. He continued with exercise playing squash 3-4x per week. He did drink alcohol...my brain is fuzzy as I was in grade nine when he died.

One thing I would do differently is I would load up on statins. They have a bad rap in many circles, but shit man.....Sitting in the ER thinking about how I wont see my kids ever again....give me those fucking statins any day.
 
Can you share stats? Age, PED usage years

Thank you!

55.

In my mid 20s to late 20s I went pretty hard on PEDs. Keep in mind back then we basically took a bunch of shit, did not get bloods etc, and I sure as shit do not have any log books etc.

30s-40s I did nothing. Kids, career focused primarily. During this time I still trained but not super hardcore or anything.

TRT started around 8-9 years ago as per dr. 100mg/week. I stated doing quite light cycles twice a year around 6(?) years ago as I could dedicate more time training etc.

In that time I never approached a gram of various goodies so quite light compared to what I see on here.

Career is CFO/VP Finance. Very high stress.

One thing I believe would have contributed is I was diagnosed with pretty bad apnea last year. Everything I read about apnea suggests that strain on your heart is really terrible, not to mention the kidneys are also under quite a bit of stress.
 
The 40mg of Crestor can cause sides - you are much better off taking a lower dose and adding Repatha - it will drop ur LDL to the 30 to 50 range - much mor effective than just a high dose statin - ur LDL needs to be in the 40 range

Appreciate your thoughts, but there is no chance I am going to second guess the cardiac team.
 
Adding my recovery to a previous log if anyone is interested.

PM is the absolute best for information and I am hoping others will get something (anything) out of my path back to lifting 10lb weights :) lol...

 
I love Claude!

Dropped in all my diagnostic tests, bloodwork etc, used cowork. Still need to drop in my OSCAR (Apnea) data set.

Anyone who wants a fairly simple way of tracking stuff should definitely get Claude Pro ($20/month or something like that).

Some snippets of the 8 tab XLS it dumped out. I still need to sample some of the items to ensure the LLM did not fuck anything up.

1776601086196.png

1776601122064.png

1776601144223.png
 
thanks for posting brother, I just got a ton of bloods done and some of my stuff is through the roof

apo-b
lipo-a
hdl
ldl

overall I'm healthy but the stuff affecting my heart is not and I've been looking for info
 

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