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ANGINA
ANGINA
ANGINA
IAMEST:
Plan:
● Observación
● Monitoria continua
Oxígeno por cánula nasal 2 L (solo si SAO2<90%))Tarpon n heparinizado
● Alteplase 15 mg IV en bolo seguido de 50 mg en 30 minutos seguido de 35 mg en 1
hora (Dosis total 100 mg)
● Aspirina 300 mg VO (masticados)
● Clopidogrel 300 mg
● Enoxaparina 15mg/kg SC cada 12 Horas
● Nitroglicerina 5 - 10 mg/min IV (máximo 400) o Dinitrato de isosorbide 10 mg C/8 H
VO
● Morfina 1 a 5 mg cada 5 o 30 minutos a necesidad (AMP 10 mg llevar a 10 cc)
● Metoprolol 25 - 50 mg VO C/12H (excepto si falla cardiaca, bradicardia, enfermedad
respiratoria)
● Atorvastatina 80 mg VO C/24 H
● EKG (YA TOMADO)
Troponina I de alta precisión
● BUN, creatinina, hemyograma, PT, PTT
● Radiografia de torax
IAMSEST
●Findings consistent with ST-elevation myocardial infarction (STEMI): New ST-segment elevation at
the J-point in two contiguous leads with the cut-points: ≥1 mm in all leads other than leads V2-V3.
For leads V2-V3: ≥2 mm in men ≥40 years, ≥2.5 mm in men <40 years, or ≥1.5 mm in women
regardless of age. This assumes usual calibration of 1mV/10mm.
●Findings consistent with non-ST-elevation MI (NSTEMI) or unstable angina: New horizontal or
downsloping ST-depression ≥0.5 mm in two contiguous leads and/or T inversion >1 mm in two
contiguous leads with prominent R wave or R/S ratio >1.