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.
What is the treatment for a STEMI?
Initial medical therapy during STEMI consists of oxygen administration, antiplatelet therapy (aspirin, thienopyridines and glycoprotein IIb/IIIa inhibitors), anticoagulation, anginal pain relief with nitrates and morphine, and beta-blockade.
How do you handle a patient with STEMI?
All patients with STEMI should receive an empiric loading dose of aspirin (150.5 to 325 mg) as early as possible and prior to reperfusion, regardless of the reperfusion method. A lifelong maintenance dose of (75 to 81 mg) daily should be prescribed to all patients after STEMI.
Do you give nitrates for STEMI?
NSTEMI and STEMI AHA/ACC guidelines recommend administration of sublingual or intravenous nitrates for management of angina, hypertension, acute pulmonary edema, or recurrent ischemia as a class I indication [5,7].
What is the most probable treatment for STEMI?
Primary percutaneous coronary intervention (PCI) is the term for emergency treatment of an STEMI. It’s a procedure to widen the coronary artery (coronary angioplasty). Coronary angiography is done first, to assess your suitability for PCI.
What meds are given during a STEMI?
Medications for the Treatment of Acute Coronary Syndrome
| Therapy | Recommendations for STEMI |
|---|---|
| Atorvastatin (Lipitor) | 40 to 80 mg per day |
| Morphine | 4 to 8 mg IV every five to 15 minutes as needed |
| Nitroglycerin | 0.4 mg sublingually every five minutes, up to three doses as blood pressure allows |
| 10 mcg per minute IV |
What medications are given for STEMI?
Do you give heparin in STEMI?
Heparin should not be considered as routine therapy for ACS and STEMI. Based on lack of clear benefit in the literature, it is not unreasonable to withhold heparin for both ACS and STEMI patients, especially in patients who are at moderate or high risk for bleeding complications.
Do you give heparin for a STEMI?
What is the best treatment for ST elevation?
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.
Why is aspirin given for STEMI?
Just as importantly, clinical trials have also strongly suggested that the early administration of aspirin can substantially reduce the size of the myocardial infarction, or convert a heart attack to unstable angina, or convert an ST-segment elevation myocardial infarction (STEMI) to a non-ST segment elevation …
When should you not administer nitroglycerin?
Nitroglycerin is contraindicated in patients that have reported allergic symptoms to the medication. [18] Known history of increased intracranial pressure, severe anemia, right-sided myocardial infarction, or hypersensitivity to nitroglycerin are contraindications to nitroglycerin therapy.