Case of Anterior Wall MI

45 year old male presented with complaints of left sided chest pain radiating to left arm follpwed by sweating after a while History Nothing significant Investigations BP, PULSE, SPO2 all are normal Management I had administered him loading dose of Atorvastatin 80mg, Ecosprin 300mg, Sorbitate S/L stat, and referred him to cardiologist for further appropriate treatment Kindly guide what more could have been done in a remote resource limited setting for such kind of MI patients?

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Its stemi.thrmbolys could have been done.it can be done in a smaller & remote center. U are a highly qualified medico.u need cardiac monitoring & Some anti arrhythmetic drugs.thrombolysis done as early as possible saves lots of lives

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At sub center level where other facilities r not available and time taken to shift pt at higher center is less, pt should b shifted with the given medicines. If it more and if LMWH is available,should b given and shift the pt.

Tab nikorandil inj LMWH can be added to present treatment at remote place.

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increasing oxygen supply Nitrates Analgesia

ANTERIOR LATERAL MI LEAD 1 , aVL & V2 -V4 - STEMI NITROGLYCERIN ATORVASTATIN + ASPIRIN MEDICATION HTN MEDICATION ( BETA BLOCKER ) D-DIMER HIGH THEN STREPTOKINASE LMWH SOS OXYGEN MORPHIN SOS MAINTENANCE DOSE ATORVASTATIN 10MG+ ASPIRIN 75MG

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