A 55-year-old patient presents to the emergency department with severe chest pain, dyspnea, hypotension, and a rapid, thready pulse. The patient's medical history includes myocardial infarction one year ago. The ECG shows ST-segment elevation, and the chest X-ray does not indicate pneumothorax or hemothorax. Which intervention is MOST appropriate for managing this patient's condition?
Aggressive volume expansion with intravenous fluids
Administration of vasopressors without addressing revascularization
Immediate revascularization is the most appropriate intervention for a patient presenting with signs and symptoms consistent with cardiogenic shock due to acute myocardial infarction (AMI). This involves percutaneous coronary intervention (PCI) or thrombolytic therapy, aimed at restoring blood flow to the affected myocardium, thereby improving cardiac output and reducing the severity of shock. Volume expansion may exacerbate pulmonary edema in cardiogenic shock and is not indicated without evidence of hypovolemia. Oxygen therapy and vasopressors are supportive treatments but do not address the underlying cause of cardiogenic shock in the context of AMI.
Ask Bash
Bash is our AI bot, trained to help you pass your exam. AI Generated Content may display inaccurate information, always double-check anything important.
What is immediate revascularization?
Open an interactive chat with Bash
What are the signs and symptoms of cardiogenic shock?
Open an interactive chat with Bash
Why is aggressive volume expansion not indicated in this case?
Open an interactive chat with Bash
BCEN CEN
Cardiovascular Emergencies
Your Score:
Report Issue
Bash, the Crucial Exams Chat Bot
AI Bot
Loading...
Loading...
Loading...
Nursing and Medical Assistants Package Join Premium for Full Access