Initial management
- DOI:
- 10.1093/med/9780199543496.003.0005
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.