A 74-year-old with NSTEMI is pain free after aspirin. He is not at high bleeding risk, creatinine is 96 micromol/L, and immediate coronary angiography...

Question

A 74-year-old with NSTEMI is pain free after aspirin. He is not at high bleeding risk, creatinine is 96 micromol/L, and immediate coronary angiography is not planned. Which parenteral antithrombin should be offered?

Accepted Answer

Fondaparinux 2.5 mg subcutaneously once daily

Answer

Withhold parenteral antithrombin before angiography tomorrow

Answer

Enoxaparin 1 mg/kg subcutaneously twice daily

Answer

Unfractionated heparin 5,000-unit bolus then adjusted infusion

Answer

Bivalirudin 0.75 mg/kg bolus then adjusted infusion

Acute Coronary Syndrome — MRCP Part 1 MCQ

A 74-year-old with NSTEMI is pain free after aspirin. He is not at high bleeding risk, creatinine is 96 micromol/L, and immediate coronary angiography is not planned. Which parenteral antithrombin should be offered?