A 53-year-old man presents to casualty with severe chest pain. He has a history of angina. ECG shows ST elevation of 4 mm in leads V1-V4. Thrombolysis is done but pain and ECG findings are persisting even 90 minutes after sta of thrombolysis. What is the best management of this patient?
High-Yield Explanation
On treatment, ST elevation reduces gradually in 90 mins In this patient ST elevation doesn't come down even after thrombolysis. Failed thrombolysis--> Do Rescue PCI (Per cutaneous coronary interventions) Other options Primary PCI --> For STEMI Delayed PCI--> For NSTEMI IV Abciximab-->For NSTEMI