Clinical Case Database / Category: Clinical Care

Secondary prevention after MI

Publication details

Jessica Webb, Laura Cochrane, Pitt O Lim
Foundation Years Journal, volume 3, issue 2, p.14 (123Doc Education, London, March 2009)


A 40-year-old lorry driver presented to the Emergency Department an hour after onset of central chest pain. He was a smoker with a family history of coronary artery disease. His 12 lead electrocardiogram confirmed an acute anterolateral ST elevation myocardial infarction (STEMI). Following intravenous morphine for analgesia and anti-emetics, he underwent immediate primary percutaneous coronary intervention (PCI) with preoperative loading doses of aspirin and clopidogrel, as well as an intravenous bolus dose of heparin.

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Jessica Webb

Department of Cardiology
St George's Hospital

Laura Cochrane

Department of Cardiology
St George's Hospital

Pitt O Lim

Department of Cardiology
St George's Hospital


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