Case of Anterior Wall MI

Question

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?

Manohar Rao · Answer

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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Dr. Ajeet Pal Singh

MBBS, MD, CCEBDM, PGDFM (CMC VELLORE)

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Vinod Shah · Answer

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.

Sandeep Ghodekar · Answer

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

Puneet Bajpai · Answer

increasing oxygen supply
Nitrates
Analgesia

Saurabh Burkul · Answer

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

Case of Anterior Wall MI

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