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Line 61:
Line 61: − *H&P: − *Dx:
→STEMI
==STEMI==
==STEMI==
*Tx: '''PCI within 90 minutes.''' Standard MONA BAsH—'''morphine/metoclopramide (for pain/nausea), oxygen (if SpO2 <95%/breathless), nitrates, ASA, β-blockers (''if LVEF < 40%, HTN, tachycardic, no heart failure''), Antiplatelet (if doing angioplasty/stenting, prasugrel or ticagrelor are preferred agents), (spironolactone?), Heparin (LMWH)'''. Look out for complications (DARTH VADER mnemonic). '''PCI for patients with ST depression on exercise stress ECG test'''. Afib as a complication of MI or cardiac surgery usually '''resolves spontaneously within a few days'''. Send home on 12 months DAPT (if stenting/angioplasty performed), ACEI/ARB, and statin.
*Tx: '''PCI within 90 minutes.''' Standard MONA BAsH—'''morphine/metoclopramide (for pain/nausea), oxygen (if SpO2 <95%/breathless), nitrates, ASA, β-blockers (''if LVEF < 40%, HTN, tachycardic, no heart failure''), Antiplatelet (if doing angioplasty/stenting, prasugrel or ticagrelor are preferred agents), (spironolactone?), Heparin (LMWH)'''. Look out for complications (DARTH VADER mnemonic). '''PCI for patients with ST depression on exercise stress ECG test'''. Afib as a complication of MI or cardiac surgery usually '''resolves spontaneously within a few days'''. Send home on 12 months DAPT (if stenting/angioplasty performed), ACEI/ARB, and statin.