Medications for Heart Attack
by
Michael Jubinville, MPH Here are the basics about each of the medicines below. Only the most common reactions are listed. Ask your doctor if you need to take any special steps. Use each of these drugs as advised by your doctor or the booklet they came with. If you have any questions, call your doctor. Treatment with medicine starts on the way to the hospital and continues after you get home. They are used to open blood vessels and prevent blood clots, and treat high blood pressure or cholesterol. The medicines used will change over time depending on your needs. Prescription Medicine
Angiotensin-converting enzyme (ACE Inhibitors)
Angiotensin II Receptor Blockers (ARBs)
Over-the-Counter MedicinePrescription MedicineOpioidsCommon names:
Opioids are are used to ease pain and anxiety. Possible problems are:
NitratesNitroglycerin Nitrates ease chest pain by widening the arteries. This lets more blood to flow to the heart muscle. There are many ways to take nitrates. Possible problems are:
Thrombolytic AgentsCommon names:
These will break up blood clots in the arteries of the heart to improve blood flow. Possible problems are:
Heart RhythmThese drugs help regulate heart rhythm so the blood can get to the heart muscle. Sodium Channel Blockers Common names:
Beta-blockers Common names:
Beta-blockers ease the heart's workload and lowers blood pressure. They can also be used to regulate heart rhythm. Possible problems are:
Action Potential-Prolonging Agents Common names:
Calcium Channel Blockers Common names:
These lower blood pressure and slow the heart rate. They can also be used to regulate heart rhythm. Possible problems are:
ACE InhibitorsCommon names:
ACE inhibitors lower blood pressure. They can also extend life in those with severe heart damage. Possible problems are:
ARBsCommon names:
Possible problems are:
Antiplatelet DrugsCommon names:
These drugs help keep the blood from clotting. They may be given when aspirin cannot be used. They may also be given with aspirin to people who have had an angioplasty. Possible problems are:
AnticoagulantsCommon names:
Anticoagulants help to keep the blood from clotting. It is often given to people during heart procedures or after other clot-busting drug treatment. Possible problems are:
StatinsCommon names:
Statins lower cholesterol levels in the blood. Atorvastatin may reduce the risk of repeat stroke or heart attack. These drugs may be used with other methods to treat high cholesterol such as changes in how you eat. Possible problems are:
Over-the-Counter MedicationsAspirinAspirin helps prevent clotting and reclosing of the artery. Aspirin may become part of long-term treatment. Possible problems are:
Special ConsiderationsIf you are taking medicine:
References:Acute coronary syndromes. EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated March 15, 2019. Accessed March 27, 2019. Acute myocardial infarction (MI). Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/cardiovascular-disorders/coronary-artery-disease/acute-myocardial-infarction-mi. Updated December 2018. Accessed March 27, 2019. Cardiac medications. American Heart Association website. Available at:
https://www.heart.org/en/health-topics/heart-attack/treatment-of-a-heart-attack/cardiac-medications. Accessed March 27, 2019. Hypertension medication selection and management. EBSCO DynaMed Plus website. Available at: https://www.dyname.... Updated November 16, 2018. Accessed March 27, 2019. ST-elevation myocardial infarction (STEMI). EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated July 10, 2018. Accessed March 27, 2019. Statins. EBSCO DynaMed Plus website. Available at: https://www.dynamed.com/topics/dmp~AN~T116844/Statins. Updated April 5, 2018. Accessed March 27, 2019. Last reviewed March 2019 by
EBSCO Medical Review Board
Michael J. Fucci, DO, FACC Last Updated: 3/27/2019 |
|
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation. This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition. To send comments or feedback to our Editorial Team regarding the content please email us at healthlibrarysupport@ebsco.com. Our Health Library Support team will respond to your email request within 2 business days. |