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ACUTE CORONARY SYNDROME-GENERAL MEASURES

Cardiology

ACUTE CORONARY SYNDROME-GENERAL MEASURES

1. Continuous ECG monitoring.

2. Intense anti-platelet and parenteral anticoagulant therapy with multiple agents is the treatment.

3. SL GTN x3/PRN for pain and I V NTG for continued ischemia or hypertension.

4. Morphine if pain is not relieved by NTG.

5. Oral beta-blocker and an ACEI if the patient is still hypertensive or has evidence of LV dysfunction (EF <40%).

6. Beta-blockers reduce myocardial 02 consumption & block excessive sympathetic stimulation. CI include bradycardia, hypotension, 2/3-degree AV block, pulmonary edema, and asthma.

7. Non-dihydropyridine calcium channel blockers (verapamil or diltiazem) can be given instead.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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