Thursday, 9 June 2016

The treatment of acute myocardial infarction | Crack PGIMER NOV 2016


The treatment of acute myocardial infarction includes which of the following:

A. Aspirin 
B. Heparin 
C. Alteplase 
D. Oral anticoagulants 
E. ACE inhibitors



The Answer is. (A) Aspirin; (B) Ileparin; (C) Alteplase; (E) ACE inhibitors:
• The treatment of acute MI includes
— Aspirin
— Supplemental oxygen
— Morphine for control of pain
— Thrombolysis by streptokinase, alteplase, plasminogen activator (tPA). anisolated plasminogen streptokinase
activator complex (APSAC), reteplase (rPA), LMWH
— Beta blockers Improves myocardial oxygen supply-demand relationship

— ACE inhibitor : reduce mortality rate after AMI, reduction in ventricular remodelling after infarction, recurrence of infarction when treated chronically.