Quote:
Andrew66 wrote
I've seen a ST segment (during MI) completely resolve within a moment of the patient receiving a shot of nitro. This was more than just treating the symptom. Perhaps you are confusing morphine with NTG? - your statement is true for morphine.
MI patients need anti-platelets, but not necessarily anti-coagulation - there is a subtle difference here.
Judge, maybe stick to psychiatry?
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No, there's no confusion. I am well aware of the difference thanks.
I think what was uncovered here is that it would appear that there may be a difference in practice between the UK and the US.
In the UK we base our protocols on the National Institute of Clinical Excellence (NICE)
and what I said essentially fits with
what they recommend. The hospital in which I currently work happens to have clopidogrel as part of their standard ACS protocol early on.
This got me thinking though and since having read up a little on this (e.g.
here) I am perfectly willing to concede that practice differs across countries (and apparently across the US as well it seems).