A 58-year-old man with chest pain has troponin I rising, ST depressions in V2-V5. He takes sildenafil for ED 24 hours ago. BP 150/86. What is the best...

Question

A 58-year-old man with chest pain has troponin I rising, ST depressions in V2-V5. He takes sildenafil for ED 24 hours ago. BP 150/86. What is the best analgesic/anti-ischemic approach now?

Accepted Answer

Avoid nitrates; start beta-blocker and morphine if needed

Answer

Administer sublingual nitroglycerin

Answer

Give IV morphine and nitrates

Answer

Give IV nitroprusside

Answer

Start high-dose aspirin only

us-usmle-step-2 MCQ (SBA): NSTE-ACS-nitrate contraindication

A 58-year-old man with chest pain has troponin I rising, ST depressions in V2-V5. He takes sildenafil for ED 24 hours ago. BP 150/86. What is the best analgesic/anti-ischemic approach now?