course :bus 5160

La pobreza en Mxico est relacionada con factores sociales y econmicos que son medidos cada ao por el organismo pblico llamado CONEVAL, siglas que corresponden a Consejo Nacional de Evaluacin de la Poltica de Desarrollo Social. De este modo, se tienen cifras aproximadas sobre la cantidad de personas que viven en situacin de pobreza moderada y extrema, las cuales utilizaremos en el presente ensayo para analizar uno de los principales retos que enfrenta el gobierno mexicano.

Q1

What is the exact link between C-reactive protein (CRP) and coronary

artery disease?

Q2

In angina pectoris, why does the chest pain get radiated to the left side,

i.e. left arm and back?

Q3

Please explain why thrombolytic therapy is not indicated in cases of

unstable angina and non-ST-segment elevation myocardial infarctions

(nSTE-MI) despite the fact that both nSTE-MI and ST-elevated MI

(STEMI) are caused by a thrombus for which thrombolytic therapy is

highly indicated? Could it be true that, in the case of unstable angina and

nSTE-MI has a higher incidence of intracranial haemorrhage than in the

case of ST-segment elevation MI?

Q4

Doesn't the term 'acute coronary syndrome' include unstable angina, nonST-segment elevation myocardial infarctions and ST-elevated MI (STEMI)?

Q5

Kindly mention the indications for clopidogrel in acute coronary

syndrome (ACS). Should it be used along with aspirin or alone if the

latter is contraindicated? Are there any studies that combine both

with either low-molecular-weight heparin (LMWH) or unfractionated

heparin? How long should clopidogrel be continued?

Q6

What role do IV fluids play in the management of acute inferior wall

myocardial infarction?

Q7

Is there any benefit in combining aspirin with clopidogrel in post-MI

angina and ischaemic stroke? A MATCH trial showed this combination

Qu8

In a patient with the typical chest pain of myocardial infarction (MI) and

no other criteria for thrombolysis would highly elevated cardiac enzymes

indicate thrombolysis?

Q9

I cannot figure out the role of an acetylcholinesterase inhibitor in postmyocardial infarction from Conn's Current Therapy and Swanson's Family

Practice. Can you help?

Q10

Can thrombolytic therapy for myocardial infarction (MI) be started

in patients who have cardiac pain and raised cardiac markers? Can

streptokinase be given irrespective of electrocardiogram (ECG) changes

(according to some books, ST elevation has to be present)?