Early Management Of Of Mi

Early Management of Suspected Myocardial Infarction DR Ihab Suliman MBBS(KHAR),ECFMG(USA)MRCP(UK),Board Certified nuclear cardiology(USA) Associate Consultant Adult Cardiology National Guard Hospital Member of the European Atherosclerosis Society. Member of the European Society of Cardiology. Member of the European working group on Nuclear Cardiology& Cardiac CT. Member of the European Working group on Heart failure. Member of the American Society of Cardiovascular CT Member of the American Society of nuclear cardiology

Cardiac Risk Factors( CRF ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

19 years old female,single ,pharmacy student came with chest pain ,LDL 2.0(Never ignore chest pain)

19 years old female,single ,pharmacy student came with chest pain ,LDL 2.0,ECG done on discharge.

Clinical Presentation - Chest Pain ,[object Object],[object Object],[object Object],[object Object],[object Object]

NOT Suggestive of Cardiac Ischemia: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Additional History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Life-Threatening Causes of CP ,[object Object],[object Object],[object Object],[object Object],[object Object]

A 26 year old woman presented 1 week post delivery of her first baby. She has sharp L sided chest pain and she is short of breath.

Stabilizing Measures for ACS(STEMI) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostic Approach - EKG ,[object Object],[object Object],[object Object],[object Object]

Diagnostic Approach - CXR ,[object Object],[object Object]

26 yr old thin man with sudden onset of severe R sided sharp chest pain ,tachypnoeic.

Initial Management: Pain Relief ,[object Object],[object Object],[object Object],[object Object]

Initial Management - Anticoagulation ,[object Object],[object Object],[object Object],[object Object]

Reperfusion ,[object Object],[object Object],[object Object],[object Object],I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III IIa IIa IIa IIb IIb IIb III III III

Thrombolytic Therapy ,[object Object],[object Object]

Indications for Thrombolytic Therapy ,[object Object],[object Object],[object Object],[object Object]

Contraindications to Thrombolytic Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anticoagulants as Ancillary Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III IIa IIa IIa IIb IIb IIb III III III

ACE Inhibitors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III IIa IIa IIa IIb IIb IIb III III III B

Beta-Blockers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Aldosterone Blockade ,[object Object],[object Object],[object Object],[object Object],[object Object],I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III IIa IIa IIa IIb IIb IIb III III III

Thienopyridines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III IIa IIa IIa IIb IIb IIb III III III

New Recommendations in 2007 Update for Lipid Management ,[object Object],[object Object],[object Object],I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III I I I IIa IIa IIa IIb IIb IIb III III III IIa IIa IIa IIb IIb IIb III III III B

Pitfalls and Pearls ,[object Object],[object Object],[object Object],[object Object]

Pitfalls and Pearls ,[object Object],[object Object],[object Object]

50 years old female with chronic renal failure,chest pain & dizziness she is hypertensive on lisinopril

26 Old army officer had flu last week,felt chest pain while driving his car,pain increased by deep breath,he has no history of DM or HTN,nonsmoker,lipid profile LDL 2.0 MMMOL/ L

Early Management Of Of Mi

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Early Management Of Of Mi