Cardiology Questions Answered by Verified Cardiologists.
It is impossible to manage an ICU case using an online consultation portal like this.
The doctor/ nurse on duty would be the right person to manage this.
Aggressive monitoring of vitals, especially the BP is the key to management.
A central line may be needed to monitor the hemodynamic parameters, but of course only the doctor can decide,
The urine output is very important, and a catheter would be ideal for the same.
Tests for recurrent MI including trop T test and regular EKG monitoring would be ideal.
Ask the staff to contact the doctor on duty, and the consultant if possible,
All the best,
Dr Gupta, MD
If the Trop T or the EKG is suggestive, then certainly Angiogram is needed.
However, only a cardiologist available locally can prescribe this,
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