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 |
| B. |
Thrombolysis |
| C. |
Abciximab |
| D. |
Low molecular weight heparin |
Show Answer
|
Correct Answer � D Explanation |
 |
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.