What is the first line treatment for NSTEMI?
The authors recommend that aspirin still be regarded as the first line of therapy for patients with unstable angina/NSTEMI and should be administered as soon as possible after hospital presentation and maintained indefinitely as long as tolerated.
What is the immediate treatment 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 NSTEMI?
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).
Is ACS the same as NSTEMI?
The term acute coronary syndrome (ACS) is applied to patients in whom there is a suspicion or confirmation of acute myocardial ischemia or infarction. Non-ST-elevation myocardial infarction (NSTEMI), ST-elevation MI (STEMI), and unstable angina are the three traditional types of ACS.
What meds are given for NSTEMI?
Medications for STEMI and NSTEMI
| Acute | Prophylaxis or prevention |
|---|---|
| Aspirin 300mg (chewed or soluble) | Aspirin 100-150mg daily |
| Clopidogrel 300-600mg Ticagrelor 180mg or Prasugrel 60mg immediately (All taken orally) | Clopidogrel 75mg daily or Ticagrelor 90mg bd or Prasugrel 10mg daily (5mg if age >75y) |
Why is aspirin given for ACS?
Aspirin in Acute Coronary Syndrome 1: Aspirin acts to inhibit the activity of the cyclooxygenase enzyme and thus attenuates the production of prostaglandins and thromboxane. 2: The ADP receptor antagonists bind to the P2Y12 receptor to prevent ADP-induced platelet activation.
What is one goal of therapy for patients with ACS?
The immediate goals of treatment for acute coronary syndrome are: Relieve pain and distress. Improve blood flow. Restore heart function as quickly and as best as possible.
What is recommended indicated to be administered to ACS patients?
In all patients with possible ACS and without contraindications, aspirin (300 mg orally) should be given as soon as possible after presentation.
Do NSTEMI go to cath lab?
Guidelines issued in 2012 by the American College of Cardiology and American Heart Association recommended initiating cardiac catheterization in high-risk NSTEMI patients within 12 to 24 hours after the patient arrives at the hospital.
What are 3 causes of ACS?
Risk factors
- Aging.
- High blood pressure.
- High blood cholesterol.
- Cigarette smoking.
- Lack of physical activity.
- Unhealthy diet.
- Obesity or overweight.
- Diabetes.
Can ACS cause stroke?
The presence of cardiac injury in acute coronary syndrome (ACS) may induce cardiac arrhythmias or cause cardiac dysfunction, which in turn may increase the long‐term stroke risk.
Why is heparin given for NSTEMI?
The Cochrane review for heparin in NSTEMI concluded that heparin reduces the rate of MI, with a relative risk of 0.4 and a confidence interval of 0.25-0.63. A careful look at the Cochrane analysis reveals that this benefit is almost entirely driven by the FRISC trial, using the six day endpoint.