Following successful thrombolytic treatment of the patient in the previous question, he develops recurrent chest pain in 24 hours. The following is/are true:
belongs to book: ASIR SURGICAL MCQs BANK|Dr. Gharama Al-Shehri|1st edition| Chapter number:12| Question number:144
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c. Patient has an indication for catheterization and PTCA if single vessel disease is found
d. Findings of multivessel disease at catheterization would indicate need for operative bypasses
After thrombolytic therapy for acute MI, angina recurs in 30%–35% and is an indication for cardiac catheterization and mechanical intervention to prevent infarct extension. Prophylactic catheterization, however, has not been found to provide benefit. If the findings at catheterization show limited disease treatable by PTCA, then it should be performed. But if multivessel disease or unfavorable anatomy is found, operative bypass should be carried out early since results are best within 30 days of the MI.
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