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 BOF 97

 

   

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BOF: 97

A 39 year old female who is in her 32nd week of pregnancy presents with sudden onset severe retrosternal chest pain radiating to her jaw and down her left arm.

She is a known hypertensive and has been on antihypertensive medication which has kept her blood pressure under good control.

She does not smoke and there is no history of drug abuse.

On examination she is sweating profusely, pulse 110 beats per minute BP 100/70, heart sounds soft, lungs clear.

ECG shows 2mm ST elevation in leads V2-V5

In this patient which one of the following would you arrange?

a)      Arrange emergency coronary angiography

b)      Thrombolyse with tenectaplase

c)      Thrombolyse with tissue plasminogen activator

d)     Arrange and emergency CT scan of her chest

e)      Treat with aspirin and low molecular weight heparin

 

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