What medication do you give for a STEMI?
Table of Contents
What medication do you give for a STEMI?
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) |
What is the routine drug therapy for patients with suspected STEMI?
Oral clopidogrel (Plavix) at a dosage of 75 mg daily should be added to aspirin therapy in patients with STEMI, whether or not they undergo reperfusion therapy. Oral beta blocker therapy should be initiated within 24 hours of STEMI in patients with no contraindications.
What is the most beneficial treatment for patients who have an ST elevated MI?
Primary percutaneous coronary intervention (p-PCI) has become the treatment of choice for patients presenting with ST-segment elevation myocardial infarction (STEMI) when it can be performed expeditiously by an experienced team.
Which medication is used to relieve ischemic pain and reduce myocardial demand?
Medications. Medications to treat myocardial ischemia include: Aspirin. A daily aspirin or other blood thinner can reduce your risk of blood clots, which might help prevent blockage of your coronary arteries.
Why is clopidogrel indicated for STEMI?
Recent large randomized trials have demonstrated that the addition of clopidogrel to aspirin reduces the risk of major ischemic events by up to a further one-third in patients with STEMI treated with fibrinolytic therapy and undergoing percutaneous coronary intervention, with no significant increase in bleeding.
Do you give aspirin for STEMI?
Conclusion— These data suggest that an initial dose of 162 mg aspirin may be as effective as and perhaps safer than 325 mg for the acute treatment of ST-elevation myocardial infarction. Aspirin therapy is a cornerstone in the immediate treatment of ST-elevation myocardial infarction (STEMI).
What is the first line treatment for STEMI?
PCI is the first choice for the treatment of STEMI, if it is available. The goal is to open the artery within 90 minutes of the patient first receiving care by emergency medical workers, including ambulance personnel.
Which of the following are medications commonly used to treat myocardial infarction or acute coronary syndrome?
Thrombolytics (clot busters) help dissolve a blood clot that’s blocking an artery. Nitroglycerin improves blood flow by temporarily widening blood vessels. Antiplatelet drugs help prevent blood clots from forming and include aspirin, clopidogrel (Plavix), prasugrel (Effient) and others.
Which of the following are medications commonly used to treat myocardial infarction MI or acute coronary syndrome ACS )?
High-risk patients with non-ST-segment elevation myocardial infarction (NSTEMI ACS) should receive aggressive care, including aspirin, clopidogrel, unfractionated heparin or low–molecular-weight heparin (LMWH), IV platelet glycoprotein IIb/IIIa complex blockers (eg, tirofiban, eptifibatide), and a beta blocker.
What are nitrates for STEMI?
Nitrates are potent vasodilators, and they act mainly to relax the venous system. Systemic venodilation results in reduction of venous blood return to the heart (ie, reducing the ventricular preload); this will lead to reduction of the workload of the heart, less oxygen demand, and reduction in ischemic pain.
Why don’t we give GTN in inferior STEMI?
Patients with inferior ST elevation myocardial infarction (STEMI), associated with right ventricular infarction, are thought to be at higher risk of developing hypotension when administered nitroglycerin (NTG).
When do you give GTN to STEMI?
If the patient is hypertensive (>180/110), then a GTN infusion may be commenced to bring the blood pressure below this level, before giving thrombolysis.
Does Nitro help STEMI?
“Intravenous nitroglycerin may be useful to treat patients with STEMI and hypertension or HF. Nitrates should not be given to patients with hypotension, marked bradycardia or tachycardia, RV infarction, or 5’phosphodiesterase inhibitor use within the previous 24 to 48 hours.
Is Nitro contraindicated in inferior MI?
Nitroglycerin is also contraindicated in the setting of an inferior MI with right ventricular involvement because, in this specific situation, the heart is dependent on preload.
