Case 2
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Question 1 of 3
1. Question
A 58-year-old man calls an ambulance after 50 minutes of chest pain. He is normally fit and well but smokes and has a family history for ischaemic heart disease. The paramedic arrives and performs an ECG.What is the diagnosis?
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Question 2 of 3
2. Question
After administering the thrombolytic agent, aspirin, morphine and intravenous unfractionated heparin, the paramedic takes the patient to the local emergency department.
The patient reports that his chest pain is resolving and an ECG, repeated in the ED, shows resolution of the initial ST segment elevation. His pulse is 90 per minute, BP = 160/100, RR = 18 per minute and SaO2 = 97% on oxygen. You are the receiving ED registrar and you are considering further therapy.
Which one of the following combinations of treatments is the most appropriate?
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Question 3 of 3
3. Question
After about 80 minutes, just prior to transfer to CCU, the patient complains of recurrent chest pain and an ECG is repeated. The ECG shows recurrent inferior ST segment elevation.
Which are the most appropriate actions?
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