A 64-year-old man presents to the emergency department with 2 hours of central chest tightness, diaphoresis and nausea. ECG shows ST depression and T-...

Question

A 64-year-old man presents to the emergency department with 2 hours of central chest tightness, diaphoresis and nausea. ECG shows ST depression and T-wave inversion in leads V4-V6. High-sensitivity troponin is elevated. He is already on aspirin. What is the most appropriate additional immediate antithrombotic therapy?

Accepted Answer

Add clopidogrel and full-dose enoxaparin

Answer

Add high-dose statin only

Answer

Start warfarin and stop aspirin

Answer

Withhold further antithrombotics until angiography

Answer

Add intravenous unfractionated heparin and stop aspirin

au-amc MCQ (SBA): Non-STEMI acute coronary syndrome