From: DailyQuestion@...
Date: December 1, 2008 6:05:41 AM EST
To: glennskow@...
Subject: EMedHome Question of the Day

The EMedHome Question of the Day is:

Why is fibrinolytic therapy effective in STEMI but not NSTEMI?

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The Answer is:

A large thrombus consists of fibrin and platelets; a small plaque rupture results in a nonocclusive thrombus mainly of platelets. Thus, fibrinolytic therapy is effective in STEMI (high clot burden) but not NSTEMI (low clot burden) (Am J EM, 2/08).


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