NSTEMI & UNSTABLE ANGINA
Investigations and Treatment
High risk patient who are likely to progress to MI require urgent coronary angiography *in less than 72 Hours *
Who are high risk patient ?
- Increased Troponin
- Dynamic ST or T wave changes
- Previous MI
- PCI within last 6 months
- Previous CABG
Medical Treatment Unstable Angina &NSTEMI
- O2 ⇒
- Morphine and anti emetic ⇒
- Aspirin ⇒
- Clopidrogrel (Plavix )- anti platelet agent OR : Dual AP therapy with Aspirin & Prasugrel or ticagrelor ⇒
- Enoxaprin- low molecular heparin ⇒
- Beta blocker ⇒
- (Bisoprolol) ⇒
- ACE-Inhibitors ⇒
- Nitrates ⇒
- Statins ⇒