Basics ACS Surgery

• Surgical Interventions to Manage Acute Coronary Syndromes:

  • initial therapy for ACS should focus on stabilising the patient's condition, relieving ischemic pain, and providing antithrombotic therapy to reduce myocardial damage and prevent further ischemia
  • 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 typically given as initial treatment
• Surgical Interventions to Manage Acute Coronary Syndromes:

  • Long term treatment goals are to improve overall heart function, manage risk factors and lower the risk of a heart attack (or further cardiac event)
  • A combination of drugs and surgical procedures may be used to meet these goals
• Surgical Interventions to Manage Acute Coronary Syndromes:

  • Often medications are used in combination with surgical procedures designed to restore blood flow to the myocardium, most typically Percutaneous Coronary Intervention (PCI)