PE:
ECG:
TTE: EF, RWMA, no root dilatation/flap/AR, no pericardial effusion
CXR:
Lab: LA, TnT
. Loading DAPT (aspirin 300mg + brilinta 180mg)
. Heparinization (Loading dose 60U/kg, max 4000U, maintenance dose 12U/kg/hr)
. Primary PCI then CCU admission
. f/u ECG and TnT Q6H until peaking
. Inform MACE and bleeding risk
. Check 4 limb BP for complaining back pain
. Risk stratification: check lipid profile, HbA1c, lipoprotein (a)
. Optimize medical therapy including beta blocker, ACEI/ARB and high intensity statin as tolerated
. Heparinization (Loading dose 60U/kg, max 4000U, maintenance dose 12U/kg/hr)
. Primary PCI then CCU admission
. f/u ECG and TnT Q6H until peaking
. Inform MACE and bleeding risk
. Check 4 limb BP for complaining back pain
. Risk stratification: check lipid profile, HbA1c, lipoprotein (a)
. Optimize medical therapy including beta blocker, ACEI/ARB and high intensity statin as tolerated
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