Key result
Adjunctive medical therapy including oxygen, morphine, nitrates, beta blockers, and aspirin forms the foundation of early treatment for acute myocardial infarction.
Why the study?
What is the appropriate adjunctive medical therapy for patients with acute myocardial infarction?
What is the appropriate adjunctive medical therapy for patients with acute myocardial infarction?
Answers are grounded in this paper and cite their sources.
This review highlights oxygen, morphine, nitrates, beta blockers, and aspirin as foundational early treatments for acute myocardial infarction.
Physicians should consider oxygen, morphine, nitrates, beta blockers, and aspirin as the foundation of early adjunctive treatment of acute myocardial infarction. An angiotensin-converting enzyme (ACE) inhibitor should be considered after 72 hours of adjunctive treatment. Intravenous heparin therapy is useful in certain subsets of patients, and intravenous magnesium therapy shows promise. With the exception of beta blockers, prophylactic antiarrhythmic agents are currently not indicated. We predict that combination therapy with aspirin, a beta blocker, and an ACE inhibitor will assume an ever-increasing role in treatment of myocardial infarction.
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Mancuso et al. (1994) conducted a review in acute myocardial infarction. Adjunctive medical therapy (oxygen, morphine, nitrates, beta blockers, aspirin, ACE inhibitors) was evaluated. Adjunctive medical therapy including oxygen, morphine, nitrates, beta blockers, and aspirin forms the foundation of early treatment for acute myocardial infarction.
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