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It is always instructed to a patient to not eat any meal before getting your blood test because it may always interfere with the results. If you ate a meal before getting your blood drawn, your results will be high and after consulting your doctor, he would probably prescribed you medications on how to lower it. Lab technician wouldn't really know if you cheated unless they ask you if you had eaten before getting your blood drawn and if you admit it, they'll probably reschedule your blood test and explain what might be affected if you taken a meal before the test.
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Some causes can be heart disease, cancer, lung ailments, accidents, cirrhosis of the liver.
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Alteplase is a thrombolytic agent that is used for the treatment of acute myocardial infarction for lysis of coronary artery thrombi. It should be used as an infusion in the first 6 hours of the beginning of the anginal symptoms. For example if you are a person over 70 kilos, 100mg are applied, in a 90-minute regimen like this: starting with a bolus of 15 mg, followed by an infusion of 50 mg for 30 minutes and 35 mg for 60 minutes.