Abstract
A 52-year-old country patient with anterior STEMI presented within 15 minutes of the onset of symptoms to a local hospital. He was thrombolysed at 3pm with good resolution of his pain and ECG. He was started on appropriate post thrombolysis management including a heparin infusion. Four hours later, just prior to boarding an hour-long flight to Perth, he had reoccurrence of his chest pain and elevated anterior ST segments. The national guidelines do not provide guidance on the management of such patients [ [1] Chew D.P. Scott I.A. Cullen L. French J.K. Briffa T.G. Tideman P.A. et al. NHFA/CSANZ ACS Guideline 2016 Executive Working Group. National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Australian Clinical Guidelines for the Management of Acute Coronary Syndromes 2016. Heart Lung Circ. 2016; 25: 895-951 Abstract Full Text Full Text PDF PubMed Scopus (186) Google Scholar ].
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