Which finding is characteristic of acute coronary syndrome?
The signs and symptoms of acute coronary syndrome usually begin abruptly. They include: Chest pain (angina) or discomfort, often described as aching, pressure, tightness or burning. Pain spreading from the chest to the shoulders, arms, upper abdomen, back, neck or jaw.
What is ischemia guided therapy?
Ischemia-guided strategy involves guideline-directed medical therapy, with coronary angiography only if the patient experiences refractory or recurrent ischemic symptoms or develops hemodynamic instability.
Which guideline for the administration of aspirin during an ACS is correct?
3.1. For ACS patients, the current American Heart Association/American College of Cardiology (AHA/ACC) guidelines recommend that aspirin should be administered as soon as possible with an initial loading dose of 162–325 mg and continued indefinitely with a dose of 75–162 mg daily [15, 16].
Which symptom is considered a typical symptom indicative of ACS?
Take note of these common signs of an acute coronary syndrome: Chest pain or discomfort, which may involve pressure, tightness or fullness. Pain or discomfort in one or both arms, the jaw, neck, back or stomach. Shortness of breath.
What is the difference between coronary artery disease and acute coronary syndrome?
Coronary artery disease (CAD) is the most common heart disease in the U.S. and the leading cause of death. Acute coronary syndrome, a type of CAD, causes almost 400,000 deaths every year, most often among people assigned male at birth and those with underlying coronary heart disease.
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.
Which NSTE ACS patient would most likely be managed using an ischemia guided strategy instead of early invasive strategy?
An early invasive strategy (diagnostic angiography within 24 hours with intent to perform revascularization based on coronary anatomy) is preferred to an ischemia-guided strategy, particularly in high-risk NSTE-ACS patients (Global Registry of Acute Coronary Events [GRACE] score >140).
Can myocardial ischemia be cured?
Treatment for myocardial ischemia involves improving blood flow to the heart muscle. Treatment may include medications, a procedure to open blocked arteries (angioplasty) or bypass surgery. Making heart-healthy lifestyle choices is important in treating and preventing myocardial ischemia.
Which conditions are contraindications to therapy with β blockers in patients with ACS?
Contraindications for β-blockers administration are: hypotension (systolic blood pressure < 100 mmHg), bradycardia (heart rate < 50 bpm), phenomenon Raynaud, severe pneumonopathy (especially chronic obstructive and bronchial asthma), and severe renal insufficiency.
What is the Mona protocol?
Immediate treatment typically includes morphine, oxygen, nitroglycerin and aspirin (MONA). Morphine Sulfate: Morphine sulfate is the analgesic of choice for the management of chest pain associated with STEMI. Administer administered in 2 – 4 mg IV repeated at 5- to 15-minute intervals until pain is relieved.
When do you give TPA for MI?
Indications. Activase® (alteplase) is indicated for the treatment of acute ischemic stroke. Exclude intracranial hemorrhage as the primary cause of stroke signs and symptoms prior to initiation of treatment. Initiate treatment as soon as possible but within 3 hours after symptom onset.