8th February 2022

A 71-year-old male patient presents to the emergency department with severe chest pain, nausea and sweating

A 71-year-old male patient presents to the emergency department with severe chest pain, nausea and sweating. An urgent ECG is performed and reveals ST elevation in leads aVF, II and III. The patient is diagnosed with an inferior MI. Bloods are taken and a troponin is performed. 300 mg of aspirin is administered, as well as IV morphine. The patient is due to receive glyceryl trinitrate IV.

When is the use of glyceryl trinitrate contraindicated in ST elevation myocardial infarction?

Select the SINGLE most appropriate option from the list below. Select ONE option only.