A 50 year old man with a history of smoking, hypeension, and chronic exeional angina develops several daily episodes of chest pain at rest compatible with cardiac ischemia. The patient is hospitalized. All the following would be pa of an appropriate management plan cxcept :
Answer is D (Lidocaine by Bolus infusion) This patient with several risk factors for ischaemic hea disease and chronic exeional dyspnea now develops `several daily' episodes of chest pain and 'pain at rest' suggesting a diagnosis of U.A (or NSTEMI). While nitrate are recommended as the initial antiischaemic treatment, aspirin and heparin form pa of antithrombotic treatment. Lidocaine is not indicated.
Intravenous heparin
Aspirin
Intravenous nitroglycerin
Lidocaine by bolus infusion