QuestionAugust 17, 2025

Intravenous heparin would be best used in which of the following situations? In a patient with stable angina In a patient with a recent epidural hemorrhage In a patient with carotid artery stenosis In a patient with atrial fibrillation In a patient with myocardial infarction which was treated by coronary angioplasty

Intravenous heparin would be best used in which of the following situations? In a patient with stable angina In a patient with a recent epidural hemorrhage In a patient with carotid artery stenosis In a patient with atrial fibrillation In a patient with myocardial infarction which was treated by coronary angioplasty
Intravenous heparin would be best used in which of the following situations?
In a patient with stable angina
In a patient with a recent epidural hemorrhage
In a patient with carotid artery stenosis
In a patient with atrial fibrillation
In a patient with myocardial infarction which was treated by coronary angioplasty

Solution
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Answer

In a patient with myocardial infarction which was treated by coronary angioplasty Explanation 1. Identify the primary use of intravenous heparin Intravenous heparin is primarily used for rapid anticoagulation, especially in acute settings such as myocardial infarction or during procedures like coronary angioplasty to prevent clot formation. 2. Evaluate each situation - Stable angina: Typically managed with medications like nitrates and beta-blockers, not requiring immediate anticoagulation. - Recent epidural hemorrhage: Anticoagulation is contraindicated due to bleeding risk. - Carotid artery stenosis: Managed with antiplatelet therapy and possibly surgery, not immediate anticoagulation. - Atrial fibrillation: Long-term anticoagulation is needed, but not typically initiated with intravenous heparin unless in an acute setting. - Myocardial infarction treated by coronary angioplasty: Requires immediate anticoagulation to prevent thrombosis during and after the procedure.

Explanation

1. Identify the primary use of intravenous heparin<br /> Intravenous heparin is primarily used for rapid anticoagulation, especially in acute settings such as myocardial infarction or during procedures like coronary angioplasty to prevent clot formation.<br /><br />2. Evaluate each situation<br /> - Stable angina: Typically managed with medications like nitrates and beta-blockers, not requiring immediate anticoagulation.<br /> - Recent epidural hemorrhage: Anticoagulation is contraindicated due to bleeding risk.<br /> - Carotid artery stenosis: Managed with antiplatelet therapy and possibly surgery, not immediate anticoagulation.<br /> - Atrial fibrillation: Long-term anticoagulation is needed, but not typically initiated with intravenous heparin unless in an acute setting.<br /> - Myocardial infarction treated by coronary angioplasty: Requires immediate anticoagulation to prevent thrombosis during and after the procedure.
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