A 60-year-old man comes to emergency with history of chest pain, which is acute onset. The ECG shows ST depression and T waves inversion. Cardiac biomarkers in blood are not elevated. What will be the appropriate management?
The clinical presentation described in the question fits into the category of "Unstable Angina." Key points for this diagnosis are:
In cases of Unstable Angina, the goal is to stabilize the patient's condition and prevent progression to myocardial infarction. This typically involves:
1. Antiplatelet Therapy: Aspirin is usually the first-line treatment, often combined with another antiplatelet agent such as Ticagrelor or Clopidogrel to reduce the risk of thrombus formation.
2. Anticoagulation: Low Molecular Weight Heparin (LMWH) is commonly used subcutaneously to stabilize the patient and prevent further coronary artery thrombosis.
The correct management in this scenario is Antiplatelets + LMW Heparin subcutaneous, as these directly address the prevention of thrombosis and stabilization of the coronary artery, which is crucial in unstable angina.
Here's a breakdown of why the other options are not suitable:
Hence, the best answer is Antiplatelets + LMW Heparin subcutaneous.