Case History : A 40 year old male comes to ER department with chest pain since last 40 minutes.

 Case History :

A 40 year old male comes to ER department with chest pain since last 40 minutes.

Which immediate investigations would you advise :

Troponin T levels

ECG

What would be next step of management :

High Flow oxygen

Aspirin 300 mg stat.

What other medications should be given ?

Morphine for pain

GTN / Glyceryl tri nitrate

ECG shows ST Elevation and Bloods come back with raised Troponin T levels.

What does this imply ?

ST elevation means the clot thrombus has already been stabilized and occluded the blood vessel.

Hence the aim is to break down the thrombus.

Therefore we need to proceed with thrombolysis with Tissue Plasminogen Activator / TPA and proceed with PCI / Percutaneous Coronary Intervention ( Angiography + Angioplasty where applicable ) .

What is the Diagnosis of this patient :

Acute Coronary Syndrome / Acute Myocardial Infarction

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