Question
A 65-year-old patient presents to your clinic with a history of chest pain for last 24 hours associated with sweating and diaphoresis. The following ECG findings are seen. BP is 150/90 mm Hg. Which of the following is not given in management of this patient?
A. Thrombolysis
B. Aspirin
C. Statin
D. Morphine
Show Answer
|
Correct Answer » A Explanation |
 |
Ans: A. Thrombolysis
- Symptoms and ECG findings are suggestive of ST-elevation MI.
- Since the patient has come to the hospital 24 hours after onset of symptoms, there will be no benefit from thrombolysis.
Management of Patients with ST-segment Elevation Myocardial Infarction:
- Prehospital, emergency medical service providers should administer aspirin (162 to 325 mg) to all patients not already taking aspirin, obtain a 12-lead electrocardiogram (ECG) in patients suspected of having STEMI, review a reperfusion checklist, and relay this information to a medical facility.
- Patients with STEMI who have cardiogenic shock, those with contraindications to lytics, and those at high-risk of dying because of heart failure should be channeled immediately to a facility capable of cardiac catheterization.