How do you treat anterior wall MI?
How do you treat anterior wall MI?
Immediate treatment for chest pain consists of:
- Morphine sulfate 2 to 4 mg I.V. in increments of 2 to 8 mg repeated at 5-to 15-minute intervals.
- Oxygen if oxygen saturation is less than 90%
- Nitroglycerin 0.4 mg sublingual every 5 minutes for three doses, after which the need for I.V.
Why is warfarin not given in MI?
Conclusions. Warfarin, in combination with aspirin or given alone, was superior to aspirin alone in reducing the incidence of composite events after an acute myocardial infarction but was associated with a higher risk of bleeding.
Can heparin be given in MI?
When intravenous heparin is administered for myocardial infarction with non-ST elevation and unstable angina, an initial bolus of 60 to 70 U/kg (maximum, 5000 U) followed by a 12- to 15-U/kg/h infusion is recommended. The goal is to achieve an activated partial thromboplastin time of 50 to 70 seconds.
Are anticoagulants used for MI?
The standard treatment goals for patients with UA/NSTEMI involve the elimination of ischemia and the prevention of adverse events (death, recurrent ischemia, or myocardial infarction [MI]). The cornerstone of short- and long-term treatment in all cases is medical therapy with antiplatelet and anticoagulant medications.
Why are ACE inhibitors used after MI?
A meta-analysis concluded that administration of an ACE inhibitor within 3 to 16 days of infarction can slow the progression of cardiovascular disease and improve the survival rate (figure 1) [1].
What is the drug of choice for myocardial infarction?
The pain of myocardial infarction is usually severe and requires potent opiate analgesia. Intravenous diamorphine 2.5–5 mg (repeated as necessary) is the drug of choice and is not only a powerful analgesic but also has a useful anxiolytic effect.
Why aspirin is contraindicated with warfarin?
Using warfarin together with aspirin may cause you to bleed more easily. You may need a dose adjustment based on your prothrombin time or International Normalized Ratio (INR).
Why is heparin given during MI?
Heparin is effective in preventing thrombus formation and embolic complications – such effects are not shared by aspirin.
Why are anticoagulants used after MI?
Anticoagulation in conjunction with antiplatelet therapy is central to the management of acute coronary syndromes (ACS). When used effectively it is associated with a reduction in recurrent ischaemic events including myocardial infarction and stent thrombosis as well as a reduction in death.
Can you give Plavix and heparin together?
There were no adverse events that could be related to clopidogrel. In conclusion, under the study conditions, no interactions between clopidogrel and heparin were observed.
Why is lisinopril given after MI?
Following establishment of its efficacy in hypertension and congestive heart failure, the ACE inhibitor lisinopril has now been shown to reduce mortality and cardiovascular morbidity in patients with myocardial infarction when administered as early treatment.