Case study of stemi patient

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From: Scott H.
Category: healthy eating
Added: 27.04.2021
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This is an educational case report including multiple choice questions and their answers. A 57 year-old male lorry driver, presented to his local emergency department with a minute episode of diaphoresis and chest pain. The chest pain was central, radiating to the left arm and crushing in nature. The pain settled promptly following mg aspirin orally and mcg glyceryl trinitrate GTN spray sublingually administered by paramedics in the community. He smoked 20 cigarettes daily 38 pack years but was not aware of any other cardiovascular risk factors.
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Coronary Artery Disease - Unstable Angina/Non-STEMI Case #1

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Complex STEMI management: treatment of STEMI in patients with bleeding risk

ST-elevation myocardial infarction STEMI is potentially life-threatening and requires immediate treatment with a potent antithrombotic regimen, resulting in an increase of haemorrhagic complications. Bleeding is known to have an adverse impact on clinical outcomes; hence, all patients with STEMI should be evaluated for the risk of developing bleeding and the treatment should be individualised in order to avoid or to reduce these complications. Currently, there are no comprehensive recommendations for the treatment of STEMI in patients with significant bleeding risk owing to the paucity of data. This article focuses on the identification of the patients at risk and strategies to prevent bleeding complications while treating STEMI effectively. There seems to be a linear association between bleeding and death in patients with STEMI, regardless of the success or failure of reperfusion therapy [1]. Blood transfusions in this setting are known to result in higher mortality [2]. Despite diverse definitions in clinical trials, bleeding is also known to increase the rates of recurrent MI and stroke, and results in a longer hospital stay [1].
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Pharmaco-invasive Therapy for STEMI in a Patient with COVID-19: A Case Report

A year-old man presented by ambulance to the emergency department with several hours of severe substernal chest pain at rest. Prior to presentation, he was physically active, had no history of cardiovascular disease, and took no medications. However, he had recently been diagnosed with stage 3 prostate cancer and had been scheduled for radical prostatectomy in 3 months. At the time of arrival, the patient had received aspirin mg and several doses of sublingual nitroglycerin without pain relief.
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This gentleman was packing golf clubs into his car with two friends present when he developed sudden, crushing pain in his chest, radiating to his shoulder blades. He had no previous medical history of significance, a non-smoker and non-drinker. Ambulance was called for by one of his friends. No first aid was administered. O2 15lpm via NRB commenced by Paramedic crew.
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Paul B. 24.05.2021
Really helpful and fun.