What should be included in reperfusion therapy?

Reperfusion therapy includes drugs and surgery. The drugs are thrombolytics and fibrinolytics used in a process called thrombolysis. Surgeries performed may be minimally-invasive endovascular procedures such as a percutaneous coronary intervention (PCI), followed by a coronary angioplasty.

What drugs and/or interventions may be used in the ACS individual for cardiac reperfusion?

Additional acute treatment options include supplemental oxygen, nitroglycerin, intravenous morphine, beta blockers, angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, and statins. These medications may be used for STEMI or NSTE-ACS, but with a few slight differences as outlined in Table 1.

What are some initial interventions for ACS?

Morphine (or fentanyl) for pain control, oxygen, sublingual or intravenous (IV) nitroglycerin, soluble aspirin 162-325 mg, and clopidogrel with a 300- to 600-mg loading dose are given as initial treatment.

What is the goal of reperfusion therapy?

The immediate goal of reperfusion therapy for acute ischemic stroke is to restore blood flow to the regions of brain that are ischemic but not yet infarcted. Intravenous thrombolysis (IVT) with alteplase (tPA) is the mainstay of reperfusion therapy for acute ischemic stroke.

What does ACS treatment do?

Immediate treatment is ordered for acute coronary syndrome. The short-term goals include relieving pain and improving blood flow to help restore heart function as quickly as possible. Long-term goals include improving overall heart function, managing risk factors, and lowering the risk of a heart attack.

What’s the difference between CAD and ACS?

Introduction and definitions On the other hand, CAD is characterized by atherosclerosis in coronary arteries and can be asymptomatic, whereas ACS almost always presents with a symptom, such as unstable angina, and is frequently associated with myocardial infarction (MI) regardless of the presence of CAD (2).

Which is the first line of treatment for ACS?

Percutaneous coronary intervention (PCI) is the first-line treatment for patients with ACS. PCI techniques have become established. Thus, the establishment of a system of health care in the prehospital and emergency department settings is needed to reduce mortality in patients with ACS.

What is reperfusion therapy for acute myocardial infarction?

REPERFUSION THERAPY FOR ACUTE MYOCARDIAL INFARCTION Jason S. Go, MD, FACC Interventional Cardiology and Peripheral Vascular Intervention Altru Health System DISCLOSURES •None CORONARY ARTERY DISEASE •Major cause of morbidity and mortality in developed countries •2010 Heart disease and Stroke statistics

When to call EMS for a reperfusion patient?

To prevent delay, we must educate citizens to call EMS as soon as symptoms occur. To prevent transportation, prehospital system, and door-to-balloon delays, prehospital 12-lead ECG is recommended. Prehospital ECG can shorten the duration of EMS evaluation (hospital selection) and emergency department evaluation (decision to reperfuse).

How long does PCI reperfusion take to reestablish?

•Overestimates the reperfusion delay for PCI since PCI reperfusion is immediate while fibrinolytic therapy generally does not reestablish perfusion for about 30 minutes. •Does not reflect quality of reperfusion

What should be included in reperfusion therapy? Reperfusion therapy includes drugs and surgery. The drugs are thrombolytics and fibrinolytics used in a process called thrombolysis. Surgeries performed may be minimally-invasive endovascular procedures such as a percutaneous coronary intervention (PCI), followed by a coronary angioplasty. What drugs and/or interventions may be used in the ACS individual…