What is management of acute coronary syndrome?

Thrombolytics (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.

Which treatment should you administer first to a patient who is exhibiting symptoms of acute coronary syndrome?

The primary goal of initial treatment is early reperfusion therapy through administration of fibrinolytics (pharmacological reperfusion) or PPCI (mechanical reperfusion). Providers should rapidly identify patients with STEMI and quickly screen them for indications and contraindications to fibrinolytic therapy and PCI.

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 manage an Nstemi?

Unfractionated heparin with bolus dosing and a continuous infusion is commonly used, with most institutions having protocols available. Other strategies may include the use of enoxaparin, bivalirudin, fondaparinux, and dual antiplatelet therapies. Fibrinolytic therapies should not be used in NSTEMI.

Is acute coronary syndrome curable?

With lifestyle changes and the right medication, it is possible to prevent acute coronary syndrome or to treat it and lead a normal life.

What are the complications of acute coronary syndrome?

Complications of Acute Coronary Syndromes

• Electrical dysfunction (conduction disturbance, arrhythmias. read more )
• Mechanical dysfunction (heart failure.
• Thrombotic complications (recurrent coronary ischemia, mural thrombosis.
• Inflammatory complications (pericarditis.

Is Nstemi life threatening?

It’s a life-threatening emergency. It will show up as an abnormality on an electrocardiogram (EKG). NSTEMI.