17 -reatment algorithm for the management of acute coronary syndrome with(!) ST-segment elevation Flashcards Preview

cardiology > 17 -reatment algorithm for the management of acute coronary syndrome with(!) ST-segment elevation > Flashcards

Flashcards in 17 -reatment algorithm for the management of acute coronary syndrome with(!) ST-segment elevation Deck (2):
1

what is the management with stemi

highest mortality rate during the first 30 min due to primary ventricular fibrillation

eadiness for electrical synchronization with the defibrillator and to continue with CPR

During the first 3 hours thrombolysis :

warfarin
acenocomural
clopidogrel



by medicaments is an alternative to PCI
but the risk of cranial hemorrhages is much lower with PCI. Thus, if there is a catheter lab, always make use of it and do PCI.
always try to do PCI as soon as possible

what are the thrombolysis given ?

2

what is the risk for this intravenous procedure ?

Vascular complications – dissections, hematomas, false aneurisms.

2. Major hemorrhages: especially in patients with Percutaneous Coronary Intervention-> because of the high doses of anticoagulants in combination with ASA and Clopidogrel,

3) Risk of transferring infections communicable hematologically -HIV , hva , hvb

4) Risk of developing of contrast nephropathy – especially in patients with CKD

5) Risk of allergic reactions towards the contrast agents or towards the procedural anesthesia or anticoagulants

Acute thrombosis -> Stent may damage endothelium, etc -> thrombosis

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