Unstable Angina

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Unstable Angina

• unstable atherosclerotic plaque

• pre-infarction

• may be positive troponin T

Treatment

aim to stabilise plaque

• Oxygen
• aspirin 300mg
• Diamorphine 2.5-5 mg + prochlorperazine 12.5mg
• Low Molecular Weight Heparin
• start beta-blocker
• IV nitrate
• Consider
  • Ca channel blocker
  • oral nitrate
  • nicorandil

Symptoms

• recent onset, worsening angina or angina at rest
• increased severity / frequency
• medical emergency
• myocardial infarction in >10%
• death within year 5-15%

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