Tuesday, May 8, 2012

Treatment of ST segment depression / Unstable angina

Aspirin (or clopidrogel or prasugrel): prevents plaque rupture

Heparin: prevents further growth of thrombus

then

Nitroglycerin
Morphine
Oxygen
Beta blockers
ACEi
GP2a/3b inhibitors


No mortality benefit from Oxygen, Morphine or Nitrates
No need for thrombolytics in non ST seg elevation event. Just prevent further elongation by giving heparin.

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