heparin in MI ? - duloxetine

[ArchivalUser]

do we use heparin in MI?

we use it in unstable angina

we use it if there is ventricular aneurysm following MI.

but do we use it with thrombolytic? or with PTCA? or if both cant be done?

in unstable angina, we use infusion nitrates only if pain is not controlled with sublingual GTN and heparin. OR do we routinely use it?

do we use nitro infusion in MI? ever? (in those whose pain is not relieved or who have pul congestion?)

its like a rabbit hole- gets confusing as we dig deeper. and then those damn recommendations that keep on changing all the time, like giving dexamethasone routinely in meningitis patients. uff....

any input on the above??...................

[ArchivalUser]

Use heparin with thrombolysis.

[ArchivalUser]

Yes, use heparin I.V in MI
Yes, we use heparin in unstable angina too (its thrombolytics which are not used in USA and NSTEMI)
Yes, we use heparin with thrombolytics in M.I (bcoz heparin does not lyse the clot and lytics does not prevent the clot formation which will be ongoing process in these unfortunate pts).
Yes we use NTG SL initially and if no relief then use it I.V (bcoz untill cardiac enzymes results come +ve we cannot start lytics and we have to do something to keep coronaries dilated atleast)...its a routine practice.....once M.I comfirmed then its must to go for specific measures.