Stephen J. Schueler, M.D.

Coronary Thrombosis Treatment

The treatment of a heart attack focuses on reducing pain, improving blood flow to the heart muscle, and preventing irreversible damage to the heart muscle. Another important feature of heart attack treatment is close monitoring for cardiac arrhythmias.

Initial treatment for a heart attack in the emergency department includes:


Additional treatment for a heart attack in the emergency department includes:

The long-term treatment for a heart attack may include:

Coronary Thrombosis Angioplasty

Angioplasty is an effective treatment for heart attack. Angioplasty is a procedure that must be performed during cardiac catheterization.

During a cardiac catheterization, a catheter (thin plastic tube) is inserted into an artery in the groin, and then threaded up through the aorta to the heart. During angioplasty, the catheter is advanced into the narrowed part of the coronary artery. A balloon at the end of the catheter is inflated, in order to force open the narrowed artery. Alternative techniques include cutting or burning away the blockage with a tiny blade or laser.

Examples:


After angioplasty, a stent may be used to help hold the artery open. Stents are tiny struts that expand against the inside wall of the artery. They prop open the blood vessel after it has been opened.

Examples:
  • Coronary artery stent
  • Coronary artery stenting

Rare complications of angioplasty include:
  • Allergic reaction to the dye
  • Heart attack
  • Coronary artery rupture
  • A small number of opened arteries become narrowed again. However, stents are used to protect against this complication.

Coronary Thrombosis Cardiac Rehab

Those who suffer a heart attack or undergo bypass surgery lose physical strength because the heart is weakened and their activity has been limited. Cardiac rehabilitation helps the heart to recover. It provides a supervised exercise program that can restore exercise capacity and endurance.

Cardiac rehabilitation programs:

Coronary Thrombosis Drugs

Medications that improve blood flow through the coronary arteries in those who have suffered a heart attack include:


Additional medications that are used to treat myocardial infarction include:

For more information:

Coronary Thrombosis Questions For Doctor

The following are some important questions to ask before and after the treatment of a heart attack.

Questions to ask before treatment:

  • What are my treatment options?
    • Is surgery an option for me?
  • What are the risks associated with treatment?
  • Do I need to stay in the hospital?
    • How long will I be in the hospital?
  • What are the complications I should watch for?
  • How long will I be on medication?
  • What are the potential side effects of my medication?
  • Does my medication interact with nonprescription medicines or supplements?
  • Should I take my medication with food?

Questions to ask after treatment:
  • Do I need to change my diet?
  • Are there any medications or supplements I should avoid?
  • When can I resume my normal activities?
  • When can I return to work?
  • Do I need a special exercise program?
  • What else can I do to reduce my risk for complications?
  • How often will I need to see my doctor for checkups?
  • What local support and other resources are available?

Coronary Thrombosis Specialist

Physicians from the following specialties evaluate and treat heart attack include:

Coronary Thrombosis Surgery

Blocked coronary arteries require bypass surgery. The aim is to provide blood flow to the artery beyond the blockage, bypassing the obstruction. Small arteries in the chest wall, or veins from the legs, are removed for this purpose. A small segment of the bypass vessel is attached to the wall of the diseased vessel, where blood flow is strong. And then, the other end of the bypass vessel is attached to the vessel, beyond the blockage. This allows blood to flow around the blockage, restoring the delivery of oxygen and nutrients to the part of the heart that was supplied by the vessel before it became blocked.

Example:

  • Coronary artery bypass surgery

The risks for bypass surgery:
  • Death: 3%
  • Heart attack: 5%
  • Stroke: 2%

Coronary Thrombosis Thrombolytics

Coronary arteries can become narrowed when cholesterol builds up on the inside wall of the arteries. This is a slow process known as atherosclerosis and it can take years to develop. Sometimes a blood clot will form where an artery have become severely narrowed. This leads to a complete obstruction of blood flow in the coronary artery. When this happens, it is called a heart attack.

Thrombolytic medications are powerful blood thinners that can break down blood clots within the coronary arteries.

Examples:


Thrombolytic medications used to treat myocardial infarction include:

Severe bleeding is the major complication of the thrombolytic medications. Overall, they reduce the risk of death from a heart attack.

Conditions in which thrombolytics are not used include:

Continue to Coronary Thrombosis Home Care

Last Updated: Dec 14, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Coronary Thrombosis References
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  7. Sheridan PJ, Crossman DC. Critical review of unstable angina and non-ST elevation myocardial infarction. Postgrad Med J. 2002 Dec;78(926):717-26. [12509688]
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