A 78-year-old woman with atrial fibrillation (AF) and hypertension presented to the emergency department with chest pain. Her medications include amlodipine 5 mg once daily and apixaban 5 mg twice… Click to show full abstract
A 78-year-old woman with atrial fibrillation (AF) and hypertension presented to the emergency department with chest pain. Her medications include amlodipine 5 mg once daily and apixaban 5 mg twice daily. The admission ECG demonstrated T-wave changes in the lateral leads with a raised troponin (200 ng/L [cut-off 14 ng/L]) consistent with a non-ST segment elevation myocardial infarction (NSTEMI). She was reviewed by the local cardiologist and an invasive treatment strategy was selected. She was subsequently treated with aspirin/clopidogrel and treatment dose anticoagulation.
               
Click one of the above tabs to view related content.