What drugs treat Nstemi?
MedicationAspirin or other antiplatelet medications. These drugs stop platelets from bunching together and forming clots in your blood. ... Anticoagulants. ... Angiotensin-converting enzyme (ACE) inhibitors. ... Beta-blockers. ... Nitroglycerin. ... Statins.
What is the treatment for a non STEMI?
Drug treatment is used for those who are low risk who've had an NSTEMI. Medications that may be given include anticoagulants, antiplatelets, beta-blockers, nitrates, statins, angiotensin-converting-enzyme (ACE) inhibitors, or angiotensin receptor blockers (ARBs).
What medication is used for ST elevation?
beta-adrenergic blockers, angiotensin-converting-enzyme inhibitors and statins should be initiated in all patients with STEMI, although cautious use of beta-blockers is advised in patients at risk of cardiac shock. Patients with diabetes should receive optimal glucose control.
Which medications should be considered in the treatment of acute coronary syndromes?
MedicationsThrombolytics (clot busters) help dissolve a blood clot that's blocking an artery.Nitroglycerin improves blood flow by temporarily widening blood vessels.Antiplatelet drugs help prevent blood clots from forming and include aspirin, clopidogrel (Plavix), prasugrel (Effient) and others.More items...•
What is non ST elevation acute coronary syndrome?
Non-ST elevation-acute coronary syndrome (NSTE-ACS) includes NSTE myocardial infarction and unstable angina. This patient population forms approximately two-thirds of all hospital admissions for ACS in the United States each year and is associated with an in-hospital mortality of 5%.
What is the initial drug therapy for ACS?
Morphine (or fentanyl) for pain control, oxygen, sublingual or intravenous (IV) nitroglycerin, soluble aspirin 162-325 mg, and clopidogrel with a 300- to 600-mg loading dose are given as initial treatment.
How do you treat an elevated ST segment?
What are the treatment options for a STEMI?Option 1: Percutaneous coronary intervention (PCI) First, we look for where the blockage is located. ... Option 2: Thrombolysis. ... Option 3: Medications. ... Option 4: Coronary bypass surgery.
Do you give heparin in STEMI?
Heparin (i.e. “unfractionated”) bolus dose of 5000 units should be given in cases of patients who are to receive PCI for their STEMI.
Do you give nitrates for STEMI?
NSTEMI and STEMI AHA/ACC guidelines recommend administration of sublingual or intravenous nitrates for management of angina, hypertension, acute pulmonary edema, or recurrent ischemia as a class I indication [5,7].
What medication is indicated for acute coronary syndrome and thrombotic event prevention?
Prasugrel (Effient) Indicated to reduce thrombotic cardiovascular (CV) events (including stent thrombosis) with acute coronary syndrome (ACS) that is managed with percutaneous coronary intervention (PCI).
Which of the following cardiac medications would be given if the indication is an acute coronary syndrome?
Anticoagulant Drugs. Either a low molecular weight heparin (LMWH), unfractionated heparin, or bivalirudin is given routinely to patients with acute coronary syndrome unless contraindicated (eg, by active bleeding or planned use of streptokinase or anistreplase).
Why is clopidogrel indicated for STEMI?
Recent large randomized trials have demonstrated that the addition of clopidogrel to aspirin reduces the risk of major ischemic events by up to a further one-third in patients with STEMI treated with fibrinolytic therapy and undergoing percutaneous coronary intervention, with no significant increase in bleeding.
Diagnosis
- If you have signs or symptoms associated with acute coronary syndrome, an emergency room doctor will likely order several tests. Some tests may be done while your doctor is asking you questions about your symptoms or medical history. Tests include: 1. Electrocardiogram (ECG).El…
Clinical Trials
- Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
Lifestyle and Home Remedies
- Heart healthy lifestyle changes are an important part of heart attack prevention. Recommendations include the following: 1. Don't smoke.If you smoke, quit. Talk to your doctor if you need help quitting. Also, avoid secondhand smoke. 2. Eat a heart-healthy diet.Eat a diet with lots of fruits and vegetables, whole grains, and moderate amounts of low-fat dairy and lean mea…
Preparing For Your Appointment
- If you have sudden chest pain or other symptoms of acute coronary syndrome, get emergency care immediately or call 911. Your description of symptoms provides important information to help an emergency medical team make a diagnosis. Be prepared to answer the following questions. 1. When did signs or symptoms appear? 2. How long did they last? 3. What symptom…