In article <[log in to unmask]>,
Rowley Cottingham <[log in to unmask]> writes
>
>You make a diagnosis of a angina pectoris. What is your management now?
>
New onset angina therefore unstable. So admit, fragmin, aspirin, 12
hourly troponin (if the above wasn't) assuming no further chest pain,
troponin not diagnostic for MI then exercise test, if negative home,
follow up in 6 weeks, if positive keep as in patient, continue aspirin,
fragmin, beta blockade, await inpatient angiogram. Probably start a
statin as well.
At least that is what I would do as a medical SHO.
--
Sam Waddy
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