cache
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A 55yrs old male, chronic smoker, known diabetic for 5 years has presented in casualty with history of chest pain for past 90 minutes radiating to lower jaw with diaphoresis & uneasiness. ECG reveals ST depression in leads V2-5 with T wave inversion. His CPk - MB levels are 7 times the normal. All of the following are indicated except :
a) Nitroglycerin infusion
b) Oxygen therapy
c) Streptokinase
d) Metoprolol
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| dimps
Forum Guru
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c...streptokinase
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hi how r u
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| cache
Forum Guru
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...
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| dimps
Forum Guru
Topics: 63
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ya i think it is unstable angina &we dont give thrombolytics for it
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| chd_guy
Forum Newbie
Topics: 2
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yeah streptokinase is not needed.
but I dont think this is unstable angina. It is st depression MI also known as subendocardial or non q wave MI because.
1) it has T wave inversions which is a feature of chronic ischemia or evolving infarction.
2) unstable angina cannot incarse cpk-mb sevenfold thoghh it rises aftre 4-6hrs of the episode.
incases of sub endocardial MI throbolytic therapy does not modify the outcome and is not given.
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| sk
Forum Senior
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the answer is C
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| cache
Forum Guru
Topics: 130
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all of you guys are right... 
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