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The Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) trial showed that rhythm-control strategies provided a significant survival advantage when compared with rate-control strategies
Beta blockers may reduce the early occurrence of ventricular fibrillation
Severe mitral regurgitation is 10 times more likely to occur with anterior myocardial infarction than with inferior myocardial infarction
When patients have right ventricular infarction, the left ventricle is almost always spared of any damage
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Early administration of beta blockers reduces the mortality and the reinfarction rate
Unless contraindicated, angiotensin-converting enzyme (ACE) inhibitors are indicated in patients with significant ventricular dysfunction after acute myocardial infarction
When given within 6 hours after presentation to the hospital, I.V. nitroglycerin reduces mortality in patients with myocardial infarction
Prophylactic therapy with lidocaine does not reduce and may actually increase mortality because of an increase in the occurrence of fatal bradyarrhythmia and asystole
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Thrombolytic therapy
Percutaneous coronary intervention (PCI)
Send cardiac biomarkers
Intravenous morphine
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Heparin
Aspirin
Nitrates
Angiotensin-converting enzyme inhibitor
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Thrombolytic therapy has been studied in patients with ECG findings other than ST-segment elevation or bundle branch block and has been found to be superior to conventional therapy
Current recommendations are that the time between a patient's presentation to the emergency department and the administration of thrombolytic therapy not exceed 2 hours
Coronary angiography is recommended in all patients after thrombolytic therapy has been administered, once they become hemodynamically stable
Streptokinase therapy is contraindicated in patients who have recently received a dose of streptokinase because of antibodies that form against the drug
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Prompt surgical repair
Left heart catheterization
Right heart catheterization
Anticoagulation
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An angiotensin receptor blocker
Warfarin
Furosemide
Statin
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