A 71-year-old man is reviewed in the coronary care unit. He was admitted with an anterior ST-elevation myocardial infarction and received thrombolysis with alteplase. Ninety minutes following this an ECG sho ws a 30-40% resolution in the ST elevation. What is the most appropriate manageme nt?
A. Percutaneous coronary intervention***
B. Repeat ECG in 4 hours, if still not a 50% resolutio n in ST elevation then proceed to percutaneous coronary intervention:
C. Repeat thrombolysis with alteplase
D. Start a nitrate infusion
E. Inform his relatives that further intervention is futile and ensure adequate pain relief.
A. Percutaneous coronary intervention***
B. Repeat ECG in 4 hours, if still not a 50% resolutio n in ST elevation then proceed to percutaneous coronary intervention:
C. Repeat thrombolysis with alteplase
D. Start a nitrate infusion
E. Inform his relatives that further intervention is futile and ensure adequate pain relief.
