Thursday, February 11, 2010

Whats the name of the medication that, if taken during a heart attack, will actually clear your arteries?

But it doesnt work otherwise, it has to be taken during an attack.Whats the name of the medication that, if taken during a heart attack, will actually clear your arteries?
It is a medication( an iv injection) called streptokinase which dissolves the clot that is blocking the coronary arteries. It has to be given within first 8-12 hours of the attack( earlier the better) It will be ineffective afterwards.





Earlier it was given through intra-coronary route:





Intracoronary thrombolysis was receiving widespread clinical applications but had many limitations. The intracoronary route took 90-120 minutes longer to administer than the intravenous route. Because intracoronary therapy required the availability of a catheterization laboratories and highly skilled invasive cardiologists, this treatment was not available to large numbers of patients who were hospitalized in smaller community hospitals.





But now it is given intra-venously. This is a treatment done in tertiary care hospitals with all precautionary facilites, as significant bleeding may occur if not well supervised.Whats the name of the medication that, if taken during a heart attack, will actually clear your arteries?
OK everyone's giving different answers....


A heart attack happens when a blood clot blocks an artery in your heart, stopping the blood flow so the muscle of the heart begins to die.


There are a few medications used in an acute heart attack situation:





Aspirin/Clopidogrel stops blood clots getting any bigger. Some people are on this long term Ie every day to ';prevent'; these clots. You get a bigger dose in the ambulance/A+E if you then present with heart attack symptoms.





GTN (nitrate), which is either a spray or a tablet that you dissolve in your mouth - this dilates the blood vessels. The aim is to make the vessels wider so that the blood flow can get around the clot and to the muscle.





Thrombolytic drugs (streptokinase, tenecteplase etc etc) are IV drugs (into the vein) that ';bust the clot'; - they dissolve the clot that has formed.





With regards to strokes - it's (in about 80% of cases) the same mechanism as a heart attack - something is blocking the arteries. Once it's been determined that the stroke is due to a blockage then aspirin and thrombolytics can be used.
There is a drug called Clexane which breaks up clots, but won't clear plaque, not much will.While You are having an attack, if You are lucky enoughto be in a hospital, they will give Heparin to thin blood Clexane to eliminate clots,Adrenaline to stimulate the Heart, and various other drugs according to where You may be at the stage of Heart attack.
aspirin makes your platelets smooth and stops them from clumping together, which reduces the size of the clot because you got a clot and now you got platelets sticking to it making things even worse. nitroglycerin dilates coronary arteries and reduces the oxygen demand on the heart. morphine does the same.
fast acting nitrates like GTN glycil Trnitrate or u can also take Isordil (isosobide dinitrate). i think they are quite effective when u the angina pain starts. they widen ur arteries and lower ur bp thereby reducing the stress on her heart
It should be GLYCERYL TRINIT or GTN in short of 0.5mg in tablet form and should be placed under the tongue when you have an attack. They also have it in spray form now.
Its an enzyme that dissolves the clot. Streptokinase was used initially but TPA (tissue plasminogen activator) is used now more because its less allergenic(less likely to cause allergic reaction)
Aspirin?
Bayer Asprin. It should say it on the bottle. :)
no..thats for a stroke..not a heart attack...
A ';nitro'; pill will jump start your heart.

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