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Initial management 

Initial management
Chapter:
Initial management
Author(s):

Brian Clapp

DOI:
10.1093/med/9780199543496.003.0005
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date: 24 June 2019

As an acute coronary syndrome is a thrombotic process all patients are immediately treated with anti-platelet agents.

Patients are monitored in a high-dependency environment and given adequate analgesia and oxygen.

In the setting of complete vessel occlusion (ST-elevation) urgent restoration of flow is achieved with thrombolytics or angioplasty.

If complete vessel occlusion has not occurred therapy is directed to reduce ischaemia and the development of further thrombus.

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