Heart Attack and Unstable Angina

Take all of your medicines correctly. Do not stop taking your medicine unless your doctor tells you to. Taking medicine can lower your risk of having another heart attack or dying from coronary artery disease.

In the ambulance and emergency room

Treatment for a heart attack or Reference unstable angina Opens New Window begins with medicines in the ambulance and emergency room. This treatment is similar for both. The goal is to prevent permanent heart muscle damage or prevent a heart attack by restoring blood flow to your heart as quickly as possible.

You will receive:

• Reference Morphine for pain relief.
• Reference Oxygen therapy Opens New Window to increase oxygen in your blood.
• Reference Nitroglycerin to open up the arteries to the heart to help blood to flow to the heart.
• Reference Beta-blockers to lower the heart rate, blood pressure, and the workload of the heart.

You also will receive medicines to stop blood clots so blood can flow to the heart. Some medicines will break up blood clots to increase blood flow. You might be given:

• Reference Aspirin, which you chew as soon as possible after calling 911 .
• Reference Antiplatelet medicine, such as clopidogrel.
• Reference Anticoagulants, such as heparin.
• Reference Glycoprotein IIb/IIIa inhibitors to help prevent blood clots from forming.
• Reference Thrombolytics to break up or dissolve blood clots.

In the hospital and at home

In the hospital, your doctors will start you on medicines that lower your risk of having complications or another heart attack. You may already have taken some of these medicines. They can help you live longer after a heart attack. You will take these medicines for a long time, maybe the rest of your life.

Medicine to lower blood pressure and the heart's workload

• Reference Angiotensin-converting enzyme (ACE) inhibitors
• Reference Beta-blockers

Medicine to prevent blood clots from forming and causing another heart attack

• Reference Aspirin
• Reference Antiplatelet medicines

Medicine to lower cholesterol

• Reference Statins

Medicine to manage angina symptoms

• Reference Nitroglycerin

What to think about

You may have Reference regular blood tests to monitor how the medicine is working in your body. Your doctor will likely let you know when you need to have the tests.

If your doctor recommends daily aspirin, don't substitute nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, for example) or naproxen (such as Aleve), for the aspirin. NSAIDS relieve pain and inflammation much like aspirin does, but they do not affect blood clotting in the same way that aspirin does. NSAIDs do not lower your risk of another heart attack. In fact, NSAIDs may raise your risk for a heart attack or stroke.

If you need to take an NSAID for a long time, such as for pain, talk with your doctor to see if it is safe for you. For more information about daily aspirin and NSAIDs, see Reference Low-Dose Aspirin Therapy.

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