Friday, April 20, 2012

Treatment of Acute coronary syndrome



Treatment for acute coronary syndrome varies, looking on your symptoms and the way blocked your arteries are.

Medications
It's doubtless that your doctor can suggest medications that may relieve chest pain and improve flow through the guts. These might include:
  • Aspirin. Aspirin decreases blood clotting, serving to to stay blood flowing through narrowed heart arteries. Aspirin is one amongst the primary stuff you could also be given within the emergency area for suspected acute coronary syndrome. you'll be asked to chew the aspirin, therefore it's absorbed into your bloodstream additional quickly. If your doctor diagnoses your symptoms as acute coronary syndrome, he or she might suggest taking aspirin daily.
  • Thrombolytics. These medication, conjointly referred to as clotbusters, facilitate dissolve a blood clot that is blocking blood flow to your heart. If you are having a heart attack, the sooner you receive a thrombolytic drug when a heart attack, the larger the possibility you may survive and reduce the injury to your heart.
  • Nitroglycerin. This medication for treating chest pain and angina briefly widens narrowed blood vessels, improving blood flow to and from your heart.
  • Beta blockers. These medication facilitate relax your heart muscle, slow your heart rate and reduce your blood pressure, that decreases the demand on your heart. These medications will increase blood flow through your heart, decreasing chest pain and also the potential for injury to your heart throughout a heart attack.
  • Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs). These medication permit blood to flow from your heart additional simply. Your doctor might prescribe ACE inhibitors or ARBs if you have had a moderate to severe heart attack that has reduced your heart's pumping capability. These medication conjointly lower blood pressure and will forestall a second heart attack.
  • Calcium channel blockers. These medications relax the guts and permit additional blood to flow to and from the guts. Calcium channel blockers are usually given if symptoms persist when you have taken nitroglycerin and beta blockers.
  • Cholesterol-lowering medication. Commonly used medication referred to as statins will lower your cholesterol levels, creating plaque deposits less doubtless. The goal of statin therapy is to scale back the low density lipoprotein (LDL, or "bad") cholesterol levels to below one hundred milligrams per deciliter (mg/dL).
  • Clopidogrel. The medication clopidogrel (Plavix) will facilitate forestall blood clots from forming by creating your blood platelets less doubtless to stay along. However, clopidogrel will increase your risk of bleeding, therefore make certain to let everybody on your health care team apprehend that you are taking it, notably if you would like any kind of surgery.

Surgery and alternative procedures
If medications are not enough to revive blood flow through your heart, your doctor might suggest one amongst these procedures:
  • Angioplasty and stenting. during this procedure, your doctor inserts a protracted, skinny tube (catheter) into the blocked or narrowed a part of your artery. A wire with a deflated balloon is had the catheter to the narrowed space. The balloon is then inflated, compressing the deposits against your artery walls. A mesh tube (stent) is sometimes left within the artery to assist keep the artery open. Angioplasty might also be done with laser technology.
  • Coronary bypass surgery. This procedure creates another route for blood to travel around a blocked coronary artery.

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