ST-segment elevation myocardial infarction is a type of heart attack. Obstruction of blood supply to an area causes the death of the myocardium in this situation. ST-segment in ECG is usually a flat segment, but in case of a heart attack, this segment becomes abnormally elevated. This causes chest pain, discomfort, shortness of breath, etc. Clot-breaking drugs, angioplasty, stent placement, etc., are the treatment modalities.
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Can I taper Brilinta on my own to reduce its side effect?
Query: Hello doctor, I am a 66-year-old female. I am a type 2 insulin-dependent diabetic for 38 years. I suffered a STEMI heart attack on August 2019. Two stents were placed in my LAD at that time to stop the heart attack. A follow up procedure was recommended as additional blockages were observed in the a... Read Full »
Answer: Hi, Welcome to icliniq.com. Gone through the details you provided. The above drugs are fine. You need to continue Brilinta with Aspirin at least until November 2020 (to complete one year after the procedure). Further continuation of two antiplatelets will depend on the situation at the completion ... Read Full »
How to treat inferior wall ischemia with STEMI in mentally retarded patient?
Query: Hello doctor,I try to help a mentally limited woman of 36 with ACS complaint from which the ECG is not clear. I have a photograph of her ECG. It seems inferior wall ischemia or NSTEMI. I tried to get her examined, but difficult to explain to her. Can you please help in reading the ECG? Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. I have gone through the attachment (attachment removed to protect patient identity). Yes, definitely, there are ischemic changes in the inferior wall as well as the lateral wall, suggestive of ischemia. If possible, do give her an antiplatelet a... Read Full »