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Author4 Posts
  #1

what is the preferred method of reperfusion?

is it thrombolysis or coronary angioplasty with stent placement?

also...till how long can we use thrombolyisis? 12 hrs or 30 min!

asked this ques coz i found contradiction in kaplan n usmleworld..

which one to follow?


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  #2

Thrombolysis is preferred unless u have few contraindications mentioned in kaplan book
i think it is done for 12 hrs

  #3

its angio if in tertiary care center but otherwise trrombolytics within 12hr if no contraind

  #4

I don't know what is written in Kaplan, but from what I know (after working @ cardiology for one month).
We give TNK (thrombolytic) if within 12 hours and no contraindications. If not in the 12 hours bond OR there are contraindications, primary Angioplasty is the treatment of chioce IF the centre has a vascular surgery support team.

Again, this is practical info taken during my Cardiology month. Don't know what Kaplan or other USMLE prep book states. Still did not start my preperations grin









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