Thrombolysis!

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Thrombolysis!

Which of the following therapies has been shown to increase survival in this situation?
A. Angiotensin-converting enzyme inhibitor	Justice	1	20%
B. Beta blocker	dermatology, Kamsi, neuroblastoma	3	60%
C. Digoxin		0	0%
D. Loop diuretic		0	0%
E. Warfarin		0	0%
5 votes

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11 Posts

usmlejedi
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09/06/07 - 06:37 PM

A 49-year-old man with a history of hypertension sustained an anterior wall myocardial infarction 2 weeks ago. The patient underwent successful thrombolysis with complete resolution of symptoms. Echocardiography shows an ejection fraction of 52%. A pre-discharge stress test showed no symptoms or ECG evidence of ischemia with maximal effort. Which of the following therapies has been shown to increase survival in this situation?

A. Angiotensin-converting enzyme inhibitor
B. Beta blocker
C. Digoxin
D. Loop diuretic
E. Warfarin

kpmle2
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09/06/07 - 06:41 PM

B. Beta blocker

Justice
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09/06/07 - 09:00 PM

A. Angiotensin-converting enzyme inhibitor

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epica

09/06/07 - 09:03 PM

B Beta blocker

dermatology
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09/06/07 - 11:43 PM

choice is between A and B ....

drug which decreases mortality is aspirin and b blockers .... but as patient is hypertensive ace inhibitors are adm ...

so now question is does ace inhibitor decrease mortality?????

i wud go for b blockers .....

Kamsi
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09/07/07 - 09:04 AM

B

Ace inhibitors also decrease mortality in post MI patients with ejection fraction less than 40%

elitoki
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09/07/07 - 09:10 AM

Kamsi wrote:
B

Ace inhibitors also decrease mortality in post MI patients with ejection fraction less than 40%

Justice
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09/07/07 - 12:51 PM

usmlejedi,
please post the answer to this Q
Thanks

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elitoki
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09/07/07 - 02:09 PM

The Easy way to remember is

post MI+ nomal EF% = beta blocker
post MI+ low EF%= ACEi

doyoudig
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09/07/07 - 02:34 PM

#10

The Easy way to remember is

post MI+ nomal EF% = beta blocker
post MI+ low EF%= ACEi

nod

usmlejedi
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Topics: 11
Posts: 16

09/07/07 - 03:30 PM

#11

The answer is b bloquers

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