Case 408

Medical history

An 81-year-old woman who presented with a 15-day history of chest discomfort, onset over two hours with continuous, squeezing, retrosternal pain, not relieved by rest and without radiation. Past medical history: coronary artery disease (CAD), arterial hypertension, dyslipidemia and ischemic stroke in 2010. On examination, HR: 120 bpm, electrocardiography (image 1) and troponin I: 0,057ng/mL (RV: 0,034ng/mL). No other comorbidities related.

According to the clinical history and the electrocardiographic findings presented, what is the probable diagnosis?
Abbreviations: STEMI - ST-segment elevation myocardial infarction; NSTEMI - non-ST elevation myocardial infarction

Test question

Residência Médica 2015 (ACESSO DIRETO 1) - Sistema único de saúde - SUS - São Paulo SP

In patients with acute coronary syndrome who have increased troponin and CK-MB, presenting NSTEMI, there is no evidence of benefit in the use of:

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