Unstable Angina, Next Best step?
60/F, DM,HTN, C/o Chest Pain at Rest ECG shows Ant-Lat strain ECHO- EF64%, IVS thickening , TrpT negative Now on- Ecosprin 75 OD Rosuvas20 OD Metoprolol SR 25 OD Telmisartan 40 OD Metformin 500+ Lipaglyn 4 OD GTN-2.6- -8AM/4PM Next Best step?
If there is history of Unstable Angina the best next step is to arrange for coronary angio followed by PCI or CABG depending on the results.
T wave inversion in v1 to v5 s/o ischemia If pain is refractory to Medical management,,, next best investigation is Cath U can start LMWH with I.V intro
Suggest Angio ,and stenting. If ECG shows diffuse atherosclerotic changes, consider CABG
CAG---CABG/PTCA
Cases that would interest you
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52 yr female hypertension chest pain associated with sweating lasted for 30 min.no RADIATION OF PAIN . Comes to me in OPD NO ANGINA NOW ECG ATTACHED .comment on Ecg and relevelant investigation.
Dr. Santosh Modani0 Like29 Answers - Login to View the image
elderly female patient presents with Chest pain for last 30 minutes. Extension cardiac history to include prior MI. Took 2 nitro prior to EMS arrival; no relief post-nitro. Pain persisted through transport. 12-lead transmitted, 324 ASA administered, IV places, blood drawn. Thoughts?
Dr. Simran Rao2 Likes19 Answers - Login to View the image
case 45 m of chest pain bp 180/100. pr100. spo2. 98. history not clear may b cardiac pt since 2years..... question is ………… pt is from very poor family. is any specific additional trtmnt ………… refused for further investigations………on the following trtmnt…… ivf tirofiban. enoxaparin rosuva tri. rami enzymes neg
Dr. Dinesh1 Like15 Answers - Login to View the image
72 yrs Female, DM , HTN , with abdominal burning with vomiting ECG enclosed please interpret.
Dr. Naveen Arichwal2 Likes15 Answers - Login to View the image
50 yr male diabetic uncontoled random sugar 400 complain of chest pain in mid sternum wth abov3e ecg give opinion on ecg n treatment
Dr. Monali Shingote1 Like17 Answers
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