Free notes, MCQs, tables & flowcharts for UPSC-CMS Internal Medicine
A 40-year-old male patient presents to the Emergency department with central chest pain for 2 hours. The ECG shows ST segment depression and cardiac troponins are elevated. The patient has a positive history of previous PCI 3 months back. He is administered Aspirin, Clopidogrel, Nitrates, and LMWH in the Emergency Department and shifted to the coronary care unit. What is the best recommended course of further action?
AEarly Revascularization with PCI
BContinue conservative management and monitoring of cardiac enzymes and ECG
CContinue conservative management and plan for outpatient follow-up
DImmediate Revascularization with Coronary Angiography
Which condition is indicated by ST segment elevation in leads V1-V4?
APosterior myocardial infarction
BLateral myocardial infarction
CAnterior myocardial infarction
DInferior myocardial infarction
A 55-year-old diabetic man presents to a PCI-capable hospital with chest pain, shortness of breath, and diaphoresis for the past 2 hours. ECG shows ST elevation. The estimated door-to-balloon time at this facility is 65 minutes. What is the next best step in management?
APCI
BNitroglycerin
CThrombolysis
DHeparin
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