What are the goals of pharmacotherapy for myocardial infarction (MI, heart attack), and what are the goals of emergency department medical therapy for MI?

Updated: May 07, 2019
  • Author: A Maziar Zafari, MD, PhD, FACC, FAHA; Chief Editor: Eric H Yang, MD  more...
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Answer

The goals of pharmacotherapy for myocardial infarction are to reduce morbidity and to prevent complications. The main goals of emergency department medical therapy are rapid intravenous thrombolysis and/or rapid referral for percutaneous coronary intervention (PCI), optimization of oxygenation, reduction of cardiac workload, and pain control. Clinicians may consider titrated intravenous opioids for analgesia or a mild tranquilizer (eg, a benzodiazepine) for very anxious patients. [70]


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