Rotations 2.0 Episode 8 Stroke

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Eco Technology by Lexin Music

Courtesy of Pixabay for non-commericial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 7

Question 1: Reperfusion Strategy in STEMI

 A 65-year-old man presents to a rural hospital with a 2-hour history of severe chest pain. His ECG shows ST-segment elevation in the anterior leads, consistent with acute myocardial infarction. The nearest hospital capable of performing primary percutaneous coronary intervention (PCI) is 2 hours away by ambulance. Which of the following is the most appropriate initial treatment for this patient?

 A. Administer intravenous fibrinolytic therapy and arrange for immediate transfer to the PCI-capable hospital.

 Question 2: Revascularization in Multivessel Disease

 A 55-year-old man presents with acute myocardial infarction and is found to have multivessel disease (MVD) on coronary angiography. The culprit lesion is in the left anterior descending (LAD) artery, and there are significant stenoses in the right coronary artery (RCA) and circumflex artery. He undergoes successful primary PCI of the LAD. Which of the following is the most appropriate next step in his management?

 B. Perform staged PCI of the RCA and circumflex artery within the next few weeks.
 
 Question 3: Duration of Dual Antiplatelet Therapy

 A 60-year-old man with a history of acute myocardial infarction undergoes successful primary percutaneous coronary intervention (PCI) with drug-eluting stent placement. He has no other significant medical history. Which of the following is the recommended duration of dual antiplatelet therapy (DAPT) for this patient?

 C. 12 months

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