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hopeglory,
this pt as u earlier mentioned is in a safe senstive job, so he shud go th cath lab directly.
also latest recom (Kaplan 2008 page 113 ) says if PCI can be performed within 12 hrs of onset & 90 min of presentation it is preferred.
this is now very possible in adv centers with adv cathlab facility.
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friends what ans shud we put down in such a case if we have cath as an option?
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Hi Orthop
I think u right, but even for PCI, u need to control BP first
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ya.
do we have some guidelines regarding BP control in MI as we have in stroke
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I asked board certified IM friend of mine
He says the answer is A most likely
Reason is that this is an inf. wall MI which is likely to result in HypoTN anyways
so E is less likely to be the answer
AND He says Clopidogrel, Asp, Hep + PTCA is what you do for MI
So I'd go for A if this comes up in the exam
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All questions written by expert examiners have objectives.
The objective of this question is to know whether you are aware that thombolytics are contraindicated in Bps above 180/110.
I got this q wrong initially myself.
The ans is E as explained.
