Would you ask for bivalirudin in the ambulance on the way to the catheter lab for PCI?
 IfI had a heart attack I would have only the faintest idea what my options really were and what their relative harms and merits might be. Perhaps as I was sucking on my aspirin tablet, I might ask the paramedic to leave the blood pressure cuff inflated for about five minutes to achieve a bit of ischaemic preconditioning. I might call for a tot of cardioprotective brandy: they say it goes well with diamorphine. Has anyone done a trial of oral alcohol for acute MI? I suppose I would let the ambulance take me to the nearest catheter lab for PCI, although more than an hour might elapse before I even reached the hospital ...
Source: Doc2Doc BMJ Cardiology - December 11, 2013 Category: Cardiology Authors: Richard Lehman Source Type: forums