AAAAA
Forum Fanatic
Topics: 156
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- A 69-year-old man is evaluated in the emergency department for the acute onset of substernal chest pain radiating to the left arm. The patient is a former smoker with a history of hypertension.
- On physical examination, he is diaphoretic, with a blood pressure of 210/95 mm Hg in the right arm and 164/56 mm Hg in the left arm, a pulse rate of 90/min and regular, and a respiration rate of 20/min. There is dullness half way up the right posterior thorax and a 2/6 diastolic murmur at the right upper sternal border. Electrocardiogram shows sinus rhythm with a 2- to 3-mm inferior ST-segment elevation.
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Prior to additional diagnostic tests, which of the following is the most appropriate initial medication?
- A Aspirin
B Intravenous heparin
C A thrombolytic agent
D A β-blocker
E An angiogensin-converting enzyme inhibitor -
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| PGI2alpha
Forum Elite
Topics: 7
Posts: 447
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first shd b a b blocker...to bring down the BP...
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| Dr.D
Forum Senior
Topics: 22
Posts: 191
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Definetly first we have to lower the BP, use B blockers
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