11-04-2014, 09:00 AM
A 45 year old female is brought to your clinic with complains of occasional episodes of substernal chest pain that wakes her up during sleep. She cannot justify the nature of the pain whether stabbing or crushing. The pain lasts for around 30 mins and then resolves spontaneously. There is no history of illicit drug use neither HTN or diabetes. Her vitals are P: 80bpm, BP: 130/70 mm go Hg, RR: 14 and T 98F. You decide to do EKG monitoring which shows transient ST segment elevation in I, aVL, v4-v6 during the episodes. Which of the following is the most appropriate treatment ?
A. Propanolol
B. Aspirin
C. Digoxin
D. Dilitazem
E. Simvastatin
F. Heparin
G. Streptokinase
A. Propanolol
B. Aspirin
C. Digoxin
D. Dilitazem
E. Simvastatin
F. Heparin
G. Streptokinase