Case 2:

63-year old woman presented with central chest pain of two hours duration. On examination her blood pressure was 90/60 mm Hg, she had a weak pulse, distended neck veins with elevated jugular venous pressure, normal first and second heart sounds and lung fields were clear on auscultation.

Ragavendra R. Baliga, M.D
Assistant Professor
Division of Cardiology
University Of Michigan

 

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Question 7 of 17:

In ST-elevation MI patients benefit the most from thrombolysis when treated early after the onset of symptoms.

You clicked 'True'

Correct!

Patients treated early derive the most benefit. Maximum benefit is observed in patients who are thrombolysed within an hour of the onset of symptomsÑthe 'golden' hour.

Time to thrombolysis from onset of symptoms
Lives saved per thousand
0-1 hour
35
2-3 hour
25
4-16 hour
19
7-12 hour
16

 

Data originally derived from Fibrinolytic Therapy Trialists' (FTT) Collaborative Group. Lancet 1994;343:311-322.

 
 
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