Nitrates

Описание: Angina vs. MI – The Critical Distinction! ❤️‍🩹

A 60-year-old patient walks into your OPD with sudden, severe chest pain. You administer sublingual sorbitrate, and voila! his pain subsides. This is a classic response to nitrates, indicating angina. Nitrates dilate blood vessels, reducing cardiac oxygen demand.

⚠️ But what if the pain DOESN'T subside with nitrates?

This is a red flag! If nitrate therapy doesn't alleviate the pain, it suggests a more severe condition like Myocardial Infarction (MI), where irreversible injury to heart muscle has occurred. In such cases, nitrates alone might not be sufficient or might even be contraindicated if there's significant hypotension.

This distinction is crucial for initiating appropriate, timely treatment and improving patient outcomes.

❓ Your Clinical Insight: If the chest pain persists despite nitrate administration, suggesting an MI, which critical medication(s) would you prioritize next for this patient? Share your expertise in the comments! 👇

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