Options For Treating Acute Coronary Syndrome

February 6, 2024

At the most basic level, acute coronary syndrome is defined as the different situations where the heart's blood supply is stopped. Acute coronary syndrome is a medical emergency and anyone experiencing the condition should go to their doctor immediately. The blood flow can be completely blocked or suddenly blocked, eventually causing the tissue around the heart to die. Symptoms include chest pain or discomfort, pain or discomfort in the jaw, neck, feeling lightheaded, feeling sweaty, shortness of breath, and even nausea. It is important to take these symptoms seriously.

Coronary Bypass Surgery

Coronary bypass surgery replaces the damaged tissue and articles to restore the blood supply to the heart. The surgeon will remove blood vessels from other parts of the body to fix the injured arteries. There are several different types of coronary bypass surgery including single bypass, double bypass, triple bypass, and quadruple bypass. Single bypass surgery fixes a single blocked artery, while double fixes two, triple fixes three, and quadruple fixes four blocked arteries. The risk of having other complications like heart failure and a heart attack depend on how many arteries are blocked.

The surgery becomes more complex when the surgeon needs to repair more blocked arteries. The physicians will determine if it is safe for the patient to undergo open-heart surgery prior to beginning the surgery. Medical conditions like kidney disease, diabetes, and peripheral arterial disease can affect whether the patient is a candidate. There are several risks involved in the surgery, including bleeding, blood clots, chest pain, infection, memory loss, and even a heart attack.

ACE Inhibitors

Angiotensin-converting enzyme (ACE) inhibitors are also prescribed to treat heart disease. This type of medication is used to treat many conditions including migraines, scleroderma, and high blood pressure. They function by preventing an enzyme in the body from producing angiotensin, which helps relax the blood vessels. Angiotensin II causes the blood vessels to become narrow while simultaneously releasing hormones into the body that raise blood pressure, causing the heart to function at a higher rate. It is prescribed to prevent or improve symptoms like heart failure, diabetes, coronary artery disease, heart attacks, chronic kidney disease, migraines, and high blood pressure.

There are many side effects users should be aware of including increased potassium levels in the blood, dizziness, fainting, loss of taste, headaches, fatigue, and dry cough. The pills are taken on an empty stomach before meals. It is important for patients to have a physician check their blood pressure and kidneys regularly.

Angioplasty And Stenting

Angioplasty and stenting are also popular choices for treating acute coronary syndrome. Angioplasty is the surgery where blocked blood vessels are opened to allow the blood to begin returning to the heart. The stent, also called the coronary artery stent, is a metal tube used to expand the inside of the artery. It functions by preventing the artery from closing during surgery. It can also be used long term to prevent the artery from closing over the long term. It is used to treat atherosclerosis, which causes fatty plaque to build up in the blood vessels in the heart.

Physicians will suggest it if lifestyle changes or medications have not improved the patient's heart condition. However, the procedure is not for everyone. If the heart muscle has been weakened or there are a number of diseased blood vessels, physicians will prescribe artery bypass surgery instead. There are several risks involved in angioplasty, despite it being one of the less invasive procedures. Risks include blood clots, bleeding, and re-narrowing of the artery.


Nitroglycerin helps with chest pain related to the blood flow to the heart. It helps open up the blood vessels to allow more blood through to the heart, relieving chest pain. Physicians suggest patients should take it before certain activities like physical activities, exercise, and situations that cause anxiety or stress. The medication is taken by mouth up to four times each day.

It should be swallowed whole because crushing the capsules could release the entire drug at once, increasing the risk of side effects, which include headaches, dizziness, nausea, or lightheadedness. It is important for patients to communicate with their doctor if they start experiencing any serious side effects including fainting, or irregular heartbeats. It is also important for the patient to communicate with their doctor if they have low blood pressure, because nitroglycerin may cause lowered blood pressure.

Beta Blockers

Beta blockers are one of the most widely used medications that treat hypertension and congestive heart failure. They function by blocking the release of epinephrine, causing the heart rate to slow down while also decreasing the heart's need for oxygen. Along with acute coronary syndrome, beta blockers are prescribed to individuals diagnosed with heart conditions like angina, high blood pressure, heart failure, heart attacks, and abnormal heart rhythms. The medication should be taken with meals to help the body absorb the medication slowly. It is also important for the patient to check their pulse every day to ensure their blood pressure does not get too low. Beta blockers have several side effects, including fatigue, upset stomach, headaches, shortness of breath, trouble sleeping, dizziness, and cold hands. It is important to consult the physician when dealing with low blood pressure or a slow pulse.

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