Question
A 76 years old male patient presents to the AIIMS emergency with retrosternal chest pain for 6 hours. The following EKG was taken. What will be your primary management?
| A. |
Primary PCI
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| B. |
Thrombolysis
|
| C. |
Abciximab
|
| D. |
Low molecular weight heparin
|
Show Answer
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Correct Answer � D
Explanation
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|
Ans: D. Low molecular weight heparin
- EKG in this scenario is showing T-wave inversion (Leads I, aVR, aVL) with a history of retrosternal pain for 6 hours.
- This is suggestive of Non-ST elevation MI.
- The primary management of NSTEMI is antithrombotic therapy followed by early PCI if high-risk features are present.
- In this patient, there are no ST wave changes or any other high-risk feature mentioned.
- Hence low molecular weight heparin should be the treatment of choice.
