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 ACS (STEMI/ NSTEMI/ USA)
 PULM EMBO
 ACUTE PERICARDITIS
 AORTIC DISSECTION
 ECG
 TROP I
 CT – PULM ANGIO/ AORTOGRAM
 ECHO – LV RWMA/ RA-RV DILATION
 D-DIMER
DISTAL
LAD
MID
LAD
PROX
LAD
PROX
TO
SEPTAL
Proximal LAD occlusion
 THROMBOLYSE ( STK/TNK/ RTP)TNK: <6HRS,YOUNG
 PRIMARY PCI
 NTG INFUSION FOR PAIN/ MORPHINE
 <3 HRS:TLT=PPCI
 3-6HRS: PCI>TLT
 6-12HRS: PCI>>TLT
 >12 HRS: PCI>>>TLT (IFWMI, ST ELEVATIONOR ANGINA)
 12-24 HRS: PPCI BEST
 24-48 HRS: PPCI OK
 48-72 HRS: PPCI CONSIDERABLE
 >72 HRS:VIABLITY (IF NO ANGINA)
 IF NOTVIABLE: NO POINT OF INTERVENTION
 LOADINGASPIRIN 325
 STATIN 40-80
 CLOPI 300/ PASU 60/TICA 180 (NOTWITHTLT)
 ASPIRIN 150 STATIN 40-80
 CLOPIDOGREL 75 OD,PASUGREL 10 OD,TICAGRELOR 90 BD
 BETA BLOCKER LIFELONG (no hf) / IVABRADINE
 ACEI/ARB IF AWMI/ EF<40%
 NITRATE/ NICORANDIL/ RANOLAZINE/TRIMETAZIDINE
 ALDACTONE IF EF<40%
 HEPARIN/ ENOXAPARIN FOR 5-7 DAYS
Coronary circulation

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Coronary circulation

  • 1.
  • 2.  ACS (STEMI/ NSTEMI/ USA)  PULM EMBO  ACUTE PERICARDITIS  AORTIC DISSECTION  ECG  TROP I  CT – PULM ANGIO/ AORTOGRAM  ECHO – LV RWMA/ RA-RV DILATION  D-DIMER
  • 3.
  • 4.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.  THROMBOLYSE ( STK/TNK/ RTP)TNK: <6HRS,YOUNG  PRIMARY PCI  NTG INFUSION FOR PAIN/ MORPHINE  <3 HRS:TLT=PPCI  3-6HRS: PCI>TLT  6-12HRS: PCI>>TLT  >12 HRS: PCI>>>TLT (IFWMI, ST ELEVATIONOR ANGINA)  12-24 HRS: PPCI BEST  24-48 HRS: PPCI OK  48-72 HRS: PPCI CONSIDERABLE  >72 HRS:VIABLITY (IF NO ANGINA)  IF NOTVIABLE: NO POINT OF INTERVENTION
  • 35.  LOADINGASPIRIN 325  STATIN 40-80  CLOPI 300/ PASU 60/TICA 180 (NOTWITHTLT)  ASPIRIN 150 STATIN 40-80  CLOPIDOGREL 75 OD,PASUGREL 10 OD,TICAGRELOR 90 BD  BETA BLOCKER LIFELONG (no hf) / IVABRADINE  ACEI/ARB IF AWMI/ EF<40%  NITRATE/ NICORANDIL/ RANOLAZINE/TRIMETAZIDINE  ALDACTONE IF EF<40%  HEPARIN/ ENOXAPARIN FOR 5-7 DAYS