Q:

A 48 year old presents with severe chest pain since the last 40mins. In the ED he is given oxygen, GTN, morphine. ECG=ST elevation. Bloods- increased troponin levels. What is the next step of management?

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A 48 year old presents with severe chest pain since the last 40mins. In the ED he is given

oxygen, GTN, morphine. ECG=ST elevation. Bloods- increased troponin levels. What is the next

step of management?


  1. Beta blockers
  2. Percutaneous angiography
  3. Anticoagulant & heparin
  4. Clopidogrel
  5. Aspirin

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The key is B. Percutaneous angiography. This is a wrong key! Correct key is E. Aspirin. [In any case of IHD, most important initial management is aspirin (unless decided to go for thrombolysis). Aspirin, the most widely used anti- platelet agent, is effective, safe, and inexpensive and is recommended for all patients undergoing PCI].

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