Friday, July 31, 2015

Q: All of the following are described as treatment of cholesterol emboli syndrome except

A) Thrombolytics
B) Aortic stent
C) statin
D) antiplatelets
E)  angiotensin-converting enzyme inhibitors

Answer: A

Though evidences are weak but literature has good description of possible relationship between use of thrombolytics and anticoagulants. It is postulated that thrombolysis and anticoagulation  may lead to plaque hemorrhage, plaque rupture, and subsequent cholesterol embolization syndrome.

Aortic stents and vascular bypasses provide more mechanical improvement. Statins may have some direct benefit by decreasing cholesterol level. Antiplatelets and angiotensin-converting enzyme inhibitors provide indirect benefits by protecting coronary vessels.

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