What is the initial emergency department treatment of unstable angina in Wellens syndrome?

Updated: Jan 25, 2018
  • Author: Benjamin B Mattingly, MD; Chief Editor: Erik D Schraga, MD  more...
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Patients presenting with symptoms consistent with unstable angina should generally receive medications and other therapies and measures that may help prevent myocardial infarction (MI). Usually, these would include the following:

  • IV access

  • Supplemental oxygen, when appropriate

  • ECG (initially) – Serial examinations and pain-free tracings may be helpful

  • Telemetry monitoring

  • Chest radiography

  • Laboratory studies (see Laboratory Studies)

  • Aspirin

  • Consideration should be given to providing  beta-blocker therapy, nitroglycerin, morphine, heparin, clopidogrel, and glycoprotein (GP) IIb/IIa inhibitors

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