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Approriate use of Thrombolysis in Silent Myocardial Infarction

Three Part Question

In [symptomatic patients presenting with ECG changes indicating acute MI, but no chest pain] does [thrombolytic therapy] improve [mortality or morbidity]

Clinical Scenario

A 60yr female presents with 2-hour history of acute dyspnoea. The ECG notes anterior ST segment elevation, fulfilling criteria for thrombolysis. She has had no chest pain and has no cardiac history. You suspect she is having a myocardial event. Should this patient be thrombolysed?

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