Chest Pain MI

Question 1

For STEMI, what are we giving (3)

What do we do if they present within 12 hours

Answer 1

Morphine
GTN
300mg Aspirin

PCI

Patients with STEMI presenting within 12 hours of onset should be discussed urgently with the local cardiac centre for either:

Percutaneous coronary intervention (PCI) (if available within 2 hours of presenting)
Thrombolysis (alteplase) (if PCI is not available within 2 hours)

Question 2

For NSEMI what are we giving (6)

Answer 2

B – Base the decision about angiography and PCI on the GRACE score
A – Aspirin 300mg stat dose
T – Ticagrelor 180mg stat dose (clopidogrel if high bleeding risk, or prasugrel if having angiography)
M – Morphine titrated to control pain
A – Antithrombin therapy with fondaparinux (unless high bleeding risk or immediate angiography)
N – Nitrate (GTN)

Question 3

What are the 4 drugs we give for Post STEMI / NSTEMI for preventitive

Answer 3

ACE
B blocker
Aspirin
Statin