Protocolo de tratamiento en urgencias del paciente con síndrome coronario agudo con elevación del segmento ST

  1. García Sebastián, C. 1
  2. Abellas Sequeiros, M. 1
  3. Monteagudo Ruiz, J.M. 1
  4. Zamorano Gómez, J.L. 1
  1. 1 Servicio de Cardiología, Hospital Universitario Ramón y Cajal, Madrid, España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Any de publicació: 2021

Títol de l'exemplar: Enfermedades cardiovasculares (IV)

Sèrie: 13

Número: 38

Pàgines: 2203-2206

Tipus: Article

DOI: 10.1016/J.MED.2021.07.006 DIALNET GOOGLE SCHOLAR

Altres publicacions en: Medicine: Programa de Formación Médica Continuada Acreditado

Resum

Acute coronary syndrome (ACS) is a major cause of mortality. It is essential to identify patients with ST-segment elevation (STSE ACS). These patients have an increased risk of complications and fast and structured action in the emergency department is fundamental. The initial measures included checking haemodynamic stability, performing an electrocardiogram, monitoring the patient, and ensuring the availability of a defibrillator. STSE ACS is treated medically and by revascularisation. The initial objective of medical treatment is symptom control and dual antiplatelet therapy with ASA and a P2Y12 inhibitor, preferably prasugrel or ticagrelor. There are two revascularisation techniques: primary angioplasty (of choice if available in under 120 minutes) or fibrinolysis.

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