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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Answer

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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