Acute Coronary Syndrome – Guidelines
Acute coronary
syndrome is a phrase that encompasses many different ailments of the
heart. Typically, it involves a blockage in an artery in the heart or
the area of the heart. A minor blockage can be treated with
medication in some cases. In other cases, emergency surgery may be
required as a life saving measure.
It is imperative
that an accurate diagnosis be done for acute coronary syndrome, using
a 12-lead electrocardiogram and testing the levels of serum troponin
in a patient. Without these tests, an accurate diagnosis cannot be
truly made. Patients are typically placed on oxygen and heart monitor
for around the clock monitoring, the moment that they come to the
hospital complaining with symptoms. Beta blockers are typically
administered and it is determined if a stint is needed and if so, it
will be surgically placed as immediately as possible to restore
correct blood flow to the heart.
By using blood
thinners, blood flow to the heart can be immediately increased while
decisions are made as to how the blockage is going to be treated.
Typically, a surgeon will decide very quickly if the blockage is
going to require surgery to install a stint that will open an artery
and remove blockage. In some cases, a surgeon will ask that a heart
catheterization be done, in order to look at the actual heart muscle
itself.
By running this
camera to the heart and shining a light, blockages can be clearly
seen on a monitor that the doctor can use to determine where stints
are needed. In other cases, a stress test may be ordered first. If
you are having a catheterization done, a stint can be put into place
during this procedure. In this case, bypass is not deemed necessary
and you can be in and out of surgery in a couple of hours time. The
'heart cath' as it is most often called, is a simple procedure that
is minimally invasive and you are awake through the process. The
recovery is simple and you'll only be restricted from bending,
stooping and lifting for a couple of weeks.
If it is
determined that your issue can be treated with medications, you will
be placed on beta blockers and other drugs that you will take upon
leaving the hospital. No doubt that your diet will be scrutinized and
a nurse or doctor will go over this with you in detail. You may be
asked to attend classes with a dietician. Adjustments to your diet
and the medications can actually help you to begin to reverse heart
disease.