Do you treat type 2 MI?

Do you treat type 2 MI?

Treatment of type 2 MI is to treat the underlying condition and hence remove the cardiac insult. To adequately assess the prognosis and determine appropriate further treatment in patients with type 2 MI, information about whether the patient has (or is likely to have) significant underlying CAD is essential.

What is the management of myocardial infarction?

Although the immediate priority in managing acute myocardial infarction is thrombolysis and reperfusion of the myocardium, a variety of other drug therapies such as heparin, β-adrenoceptor blockers, magnesium and insulin might also be considered in the early hours.

What is type II myocardial infarction?

Type 2 myocardial infarction (MI) is defined by a rise and fall of cardiac biomarkers and evidence of ischemia without unstable coronary artery disease (CAD), due to a mismatch in myocardial oxygen supply and demand. Myocardial injury is similar but does not meet clinical criteria for MI.

What is secondary prevention of MI?

Secondary prevention of MI can be again obtained by controlling blood pressure and reducing serum cholesterol in patients surviving acute MI who can also benefit from the administration of beta-blockers, aspirin and probably ace-inhibitors particularly in presence of left ventricular dysfunction.

Is type 2 MI the same as demand ischemia?

Demand ischemia should be reserved for when there is evidence of supply-demand mismatch causing ischemia without an elevated troponin above the 99th percentile. If the troponin is > 99th percentile the diagnosis is a Type 2 MI.

What meds are given post MI?

Cyclo-oxygenase (COX) inhibitors (e.g., aspirin) and adenosine diphosphate receptor (P2Y12) antagonists (e.g., clopidogrel, ticagrelor, prasugrel) are routinely prescribed platelet inhibitors post-MI [39].

How does aspirin work for secondary prevention?

The antithrombotic efficacy of low-dose aspirin is well established. Its primary clinical effect is mediated by inhibition of platelet cyclooxygenase-1, which reduces thromboxane A2 formation and inhibits platelet aggregation.

What secondary prevention medications should post stemi patients take?

Up to 12 months of DAPT with aspirin and ticagrelor is recommended in NSTEMI and STEMI patients following treatment with either PCI or CABG.

Can Type 2 MI be principal diagnosis?

The sequencing of Type 2 MI and its underlying cause is dependent on the circumstances of admission. Coding and CDI professionals should keep in mind that a Type 2 MI is frequently a secondary diagnosis, and resource consumption/treatment will be directed at the underlying cause or the principle diagnosis.

Why is anticoagulant used in MI?

Anticoagulation in conjunction with antiplatelet therapy is central to the management of acute coronary syndromes (ACS). When used effectively it is associated with a reduction in recurrent ischaemic events including myocardial infarction and stent thrombosis as well as a reduction in death.

What drugs are contraindicated in myocardial infarction?

XI. Precautions: NSAIDS are contraindicated (esp. post-STEMI)

• Consider NSAIDs as a medication allergy in post-STEMI patients.
• Choose non-NSAID agents first: Acetaminophen, Tramadol.
• Consider non-acetylated Salicylates (Exercise caution due to peptic ulcer risk) Aspirin.
• If pain refractory to non-NSAID Analgesics.

When do you start statins after MI?

Statin therapy is recommended in all patients with AMI, unless absolutely contraindicated, and should be started as early as possible within 48 hours. Early initiation of statin therapy can increase statin adherence after discharge and provides clinical benefits to statin-naïve AMI patients.

Why is aspirin prescribed after a myocardial infarction?

Aspirin helps get more blood flowing to your legs. It can treat a heart attack and prevent blood clots when you have an abnormal heartbeat. You probably will take aspirin after you have treatment for clogged arteries. You will most likely take aspirin as a pill.

When is aspirin used for secondary prevention?

Heart attack and stroke survivors are recommended to regularly take low-dose aspirin for secondary prevention. Recommended in all patients ≥ 50 years of age. Recommend use of low-dose aspirin or clopidogrel for all patients with established cardiovascular disease.