1) if 3 branches or left main stem blocked → CABG (not a rule)
2) if 2 branches blocked → stent/angioplasty
Morphine
MEDICAL (MONA BASH C)
Oxygen
Nitrates - NOT FOR RIGHT SIDED MI as RV is pre-load determinant
Aspirin FOR ANY CHEST PAIN
Beta-blocker - GO HOME ALWAYS
ACEi
Statin
Therapeutic Heparin - if CAD risk high
Clopidegrel - if CAD risk is high
ABAS → will go home on as every vascular disease person
- + nitrates FOR continously have angina
- + clopidogrel FOR stent (DES → one year. BMS → one month, if not no need)
door to balloon time is 90 mins
if greater transport t center than 60 mins give tPA
In Patient management of MI
Increase surviva; - ABH
Outpatient management of MI
Streptokinase - contraindications
Streptokinase indications
Streptokinase dose and administration
Streptokinase side effects