Unstable angina (USA)
Antiplatelet agents
- Aspirin (325mg PO then 75mg PO OD)
- Clopidogrel (300mg PO load then 75mg PO OD)
- Avoid clopidogrel if suspected left main stem stenosis
AntiThrombin Agents
- Heparin (80U/kg bolus then titrated 18U/kg/h to APTT of 50 to 70s
- Enoxaparin (1mg/kg SC BD)
- Discuss with cardiology if pre-angio
Others
- Β blockers
- Nitrates (IV)
- Thrombolysis in AMI
- ACEI (at 24 hours)
- PCI ? AMI
- Atorvastatin (at 24 hours)
Cardiology Review in MUH
In the case of urgent clinical problems (unstable arrhythmia, STEMI or NSTEMI with pain) patients should be reviewed by:
09:00 to 17:00 Cardiology registrar if available, medical registrar on call if not.
17:00 to 09:00 Medical registrar on call or city-wide cardiology registrar on call (via switch).
All other problems requiring admission should be referred to the medical team on call. The cardiology Intern should not be called.
