A 56 year old male patient with a known history of ischemic heart disease is admitted to the coronary care unit with severe chest pain

Question Number 0727

Question:
A 56 year old male patient with a known history of ischemic heart disease is admitted to the coronary care unit with severe chest pain of over half an hour in duration, unresponsive to his usual medication. An ECG demonstrates ST-segment elevation and deep symmetrical T-wave inversion in multiple precordial leads but no evidence of infarction. An appropriate treatment is likely to include:

a) platelets
b) fresh frozen plasma
c) double strength Normal Saline
d) 5% dextrose in 0.5N saline solution
e) intravenous heparin


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