Hu Said: Cardiology Board Review Series

2.14 Fibrinolysis


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In this episode, we explore the use of fibrinolysis in managing STEMI when PCI is not immediately available. What is the difference between streptokinase, alteplase, reteplase, and tenecteplase? What is the mandated door-to-needle time for receiving fibrinolytic? What is the window for onset of symptoms for which fibrinolysis is acceptable? What loading dose of antiplatelet should you use when giving fibrinolysis? How long should heparin be continued after fibrinolysis? What are the absolute and relative contraindications to giving fibrinolysis? Tune in for answers to these questions.


Difficulty Level: Easy


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Hu Said: Cardiology Board Review SeriesBy Ruey Hu, MD, MPH

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