Chapter 24 Acute coronary Syndrome and Post MI Sample Questions
1. MJ is a 49-year-old woman who presented at the hospital emergency with symptoms of severe chest pain, sweating, nausea and vomiting. ECG and serum cardiac biomarkers including creatine kinase- MB and troponin I tests were immediately performed. The results confirmed diagnosis of ST elevated myocardial infarction suggesting blockade in the right artery. Within 90 minutes from arrival at the hospital emergency, percutaneous infusion (PCI) was done and metal stent was placed within the right artery to restore blood flow at the infarcted site. Patients like MJ with acute coronary syndrome who had STEMI are at high risk of recurrent event as well as development of secondary complication. Antiplatelets therapy is critical for preventing recurrent thrombosis and of particular importance to patients who received stent. Which of the following dual antiplatelet therapy should be continued for minimum of 12 months?*
- A. Acetyl Salicylic Acid (ASA)
- B. ASA/Dypridamole
- C. ASA/Clopidogrel
- D. ASA/Ticagrelor
Ans:
D
Tips: The use of Ticagrelor should be considered in those patients with ACS undergoing stent implantation that is at higher risk for stent thrombosis (previous stent thrombosis, STEMI, history of diabetes mellitus).
Save My Preference