Chapter

Initial management

Brian Clapp

in Acute Coronary Syndromes

Published on behalf of Oxford University Press

ISBN: 9780199543496
Published online May 2011 | e-ISBN: 9780199607198 | DOI: http://dx.doi.org/10.1093/med/9780199543496.003.0005

Series: Oxford Cardiology Library

Initial management

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As an acute coronary syndrome is a thrombotic process all patients are immediately treated with anti-platelet agents. Patients are monitored in a high-dependency environment and given adequate analgesia and oxygen. In the setting of complete vessel occlusion (ST-elevation) urgent restoration of flow is achieved with thrombolytics or angioplasty. If complete vessel occlusion has not occurred therapy is directed to reduce ischaemia and the development of further thrombus.

Chapter.  3429 words.  Illustrated.

Subjects: Cardiovascular Medicine

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