TN0688 ACUTE MYOCARDIAL INFARCTION ( CONSERVATIVE MANAGEMENT WITHOUT ANGIOGRAM )
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% BREAKUP AMOUNT - CLAIMS	POINTS AWARDED	SPECIAL MENTION
CHEST PAIN +/_ VOMITING	ECG / CLINICAL PHOTO	TOTAL BED DAYS		20
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	General Work UP + ECG Changes	30		BLOOD HOMOCYSTEINE LEVEL FOR PATIENTS LESS THAN 35 YEARS OF AGE.
			ECHO		mandatory
			Cardiac Enzymes
			COAGULATION PROFILE AT DISCHARGE
			General Follow Up,RPT ECGs, RFT		mandatory
		TREATMENT	Streptokinase/Urokinase	50		IF THROMBOLYSIS NOT DONE - PACKAGE WILL BE REDUCED BY RS. 5000
			LMWH / unfractioned heparin + Other medicines(statins etc)
						STATINS / ANTIPLATELETS ETC.