Hello doctor,This query is for my dad who is 75 years old. He has been seeing the same doctor who has recommended the same tests to be done for each follow-up since the past five years. Initially, he saw him once a year, recently it has become quarterly. I have uploaded a copy of the blood test reports and ECG was done for the follow-up on eighth of this month. Yesterday too he had to do a confirmatory blood test (Troponin) as well as ECG which confirmed he had a silent heart attack 10 days back. The admitting doctor after being informed of the test results recommended to stop Eliquis 2.5 mg 1-0-1 and take Ecosprin 150 mg 0-1-0 and tablet Plavix 75 mg 0-1-0. Also injection Clexane 80 mg SC twice a day for five days. He strongly advised getting admitted for a couple of days at least. My query is:Is hospitalization necessary now or can we wait for five days since injection Clexane 80 mg has been recommended? What is the function of the injection Clexane 80 mg recommended for five days? How does it work?What would be the purpose of hospitalization now?If we do go for hospitalization, what would be the likely tests to be done? Why has the doctor advised to get admitted along with recommending taking the injection Clexane 80 mg for five days?
Hello, Welcome to Chat Doctor forum. So he did not have any symptoms, and this was detected on routine blood testing, right? His troponin is elevated here (attachment removed to protect patient identity), so it suggests he had a heart attack. So such patients are admitted for observation and administration of medications. We usually recommend admission immediately after a heart attack for 5 to 7 days, but since this time has already passed, admission is not absolutely necessary, but better to get admitted for observation, injectionClexane, and angiography. He should undergo echo and angiography, and for angiography, he has to be admitted. After angiography, he may need angioplasty or bypass. Also, if any warning signs like low bp or shortness of breath are there then he should be admitted.  Also, Clexane is blood thinner which helps in the dissolution of an already formed clot which is the reason for heart attack. So it should be given after heart attack.  For more information consult a cardiologist online 