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,
ECG shows 2mm ST elevation
in leads V2-V5
In this patient which one of
the following would you arrange?
Arrange emergency coronary angiography
Thrombolyse with tenectaplase
Thrombolyse with tissue plasminogen activator
Arrange and emergency CT scan of her chest
Treat with aspirin and low molecular weight heparin