NGN Case Study: MI Walkthrough
STEMI presentation through reperfusion and post-MI care.
MI case tests MONA, reperfusion timing, post-MI meds.
Presentation
58 y/o male. Crushing substernal chest pain × 1 hour. Diaphoretic. ECG: ST elevation V2-V4. Troponin pending.
Recognize
Anterior STEMI.
Take action
MONA + reperfusion. Aspirin 325 chewed. Nitroglycerin SL. Morphine. O2 if hypoxic. Cath lab, PCI within 90 min door-to-balloon.
Post-PCI
Dual antiplatelet (aspirin + ticagrelor/prasugrel/clopidogrel). Beta-blocker. ACE inhibitor. Statin. Monitor for arrhythmias, bleeding from access site.
Evaluate
Pain relieved, ECG ST resolution, troponin trending down, no complications.
Frequently asked
Femoral vs radial access?
Radial preferred, less bleeding. Femoral still used for some interventions.
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