After undergoing repair of a left indirect inguinal hernia, a 72-year-old obese man is admitted to the emergency department with severe retrosternal pain of 1-hours duration. The pain radiates to the medial aspect of the left hand. The ECG shows Q waves and an elevated ST-segment. A diagnosis of acute MI is established 1 hour after admission. Immediate management should include which of the following?
After undergoing repair of a left indirect inguinal hernia, a 72-year-old obese man is admitted to the emergency department with severe retrosternal pain of 1-hours duration. The pain radiates to the medial aspect of the left hand. The ECG shows Q waves and an elevated ST-segment. A diagnosis of acute MI is established 1 hour after admission. Immediate management should include which of the following?
💡 Explanation
After undergoing repair of a left indirect inguinal hernia, a 72-year-old obese man is admitted to the emergency department with severe retrosternal pain of 1-hours duration. The pain radiates to the medial aspect of the left hand. The ECG shows Q waves and an elevated ST-segment. A diagnosis of acute MI is established 1 hour after admission. Immediate management should include which of the following?
✓ Correct Answer: A. Thrombolytic therapy with tissue plasminogen activator (tPA)
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