ACUTE CORONARY SYNDROME.
Acute Coronary Syndrome is a term used to describe a range of conditions associated with sudden, decreased blood flow to the heart. Acute coronary syndrome is a term used to describe a range of conditions associated with sudden, decreased blood flow to the heart.
Acute coronary syndrome often causes severe chest pain or discomfort. In this case, urgent medical attention, prompt diagnosis and proper care are required. Treatment goals include improving blood flow, treating complications, and preventing future problems.SYMPTOMS.Signs and symptoms of acute coronary syndrome, which usually start suddenly, include the following:
• Chest pain (angina) or discomfort, often described as pain, pressure, or burning;
• Nausea or vomiting;
• Shortness of breath;
• Sudden, heavy sweating;
• Lightness, dizziness, or fainting;
• Unusual or unexplained tiredness;
• Feelings of restlessness or anxiety;
Acute coronary syndrome usually results from a buildup of fatty deposits (plaques) on the walls of the coronary arteries, the blood vessels that carry oxygen and nutrients to the heart muscles. When the plaque breaks, a blood clot forms. This clot interferes with blood flow to the heart muscles. When the oxygen supply to the cells is too low, the heart muscle cells can die. Cell death that can damage muscle tissue is a heart attack (myocardial infarction).
• Sublingual nitroglycerin (0.4 mg) or nitroglycerin aerosol every five minutes. After taking three doses with persisting chest pain and systolic blood pressure of at least 90 mm Hg. Art. it is necessary to resolve the issue of prescribing nitroglycerin intravenously as an infusion.
• The drug of choice for relief of pain syndrome is morphine sulfate 10 mg intravenously in a stream in saline sodium chloride solution.
• Early appointment of acetylsalicylic acid at a dose of 160-325 mg (chewed). Patients who have previously taken aspirin can be prescribed clopidogrel 300 mg, followed by 75 mg / day.
• Immediate prescription of β-blockers is recommended for all patients if there are no contraindications for their use (atrioventricular blockade, history of bronchial asthma, acute left ventricular failure). Treatment should be started with short-acting drugs: propranolol at a dose of 20-40 mg or metroprolol (egilok) at 25-50 mg orally or sublingually.
• Elimination of factors that increase the load on the myocardium and contribute to increased ischemia: hypertension, heart rhythm disturbances.
You can safely begin treatment, which we carry out as quickly and efficiently as possible in Tashkent. The Gatling Med clinic will make you feel confident in yourself and your health!