Secondary prevention of heart disease Flashcards
What is the pharmacological treatment for secondary heart disease?
Statin Aspirin Anti-platelet ACE inhibitor Beta blocker \+heart failure treatment if present
When is a proton pump inhibitor added to treatment of secondary HF?
If patient is over 60 and are on dual antiplatelet therapy
If patient has hypersensitivity to aspirin. Monotherapy is given. What drug is this?
Clopidogrel
How long is aspirin taken for post MI?
Indefinitely
If patient has had PCI what treatment is given instead of aspirin?
Anti-coagulant and clopidogrel
Which proton pump inhibitor interacts with clopidogrel?
Omeprazole
How long are aspirin and clopidogrel given for in medically managed STEMI?
1 month
How long are aspirin and clopidogrel given for in NSTEMI?
12 months
What DAPT is given to a patient that has had a stent placed in their artery?
Aspirin and ticagrelor for 12 months
When are B-blockers started post MI?
As soon as patient is haemodynamically stable - within 7 days of MI
Highest dose of B-blocker is given post MI. True or false?
False - dose is titrated up to max tolerated dose
How long are B-blockers given for?
Long term if they have heart failure post MI, otherwise min of 12 months
What is the aim of treatment when using statins in secondary heart disease?
Decrease mortality post MI
How long are ACE inhibitors taken for post MI?
indefinitely
Syncope is a side effect of which group of drugs?
ACE inhibitors
