TREATMENT of ACUTE CORONARY SYNDROME
- Call 911.
- Chew a regular-strength aspirin.
- If you have any, take 1 dose of nitroglycerin.
In the hospital additional treatment include:
- Anticoagulants, such as heparin, enoxaparin and dalteparin that prevents additional clots from forming.
- Aspirin and other antiplatelet medicines such as clopidogrel (Plavix) or glycoprotein IIb/IIIa inhibitors (such as Integrillin) that also prevent additional clots from forming.
- Beta-blockers that decrease the heart's workload, ease pain, and prevent abnormal heart rhythms.
- Calcium channel blockers, which can be used when beta-blockers cannot be taken.
- Nitrates or nitroglycerin.
- Oxygen. The last three drugs ease the symptoms associated with the ACS.
- Angioplasty, with or without a stenting, is the most effective method for restoring patency of the coronary arteries.
- Coronary artery bypass surgery or CABG in patients with severe multivessel or left main coronary artery disease.
Abraham Salacata, MD, FACC