Left ventricular aneurysm medical therapy: Difference between revisions
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[[Afterload]] reduction and treatment [[Angina Pectoris|anginal pain]] are the main stay of medical therapy for small and medium size LV aneurysms. | [[Afterload]] reduction and treatment [[Angina Pectoris|anginal pain]] are the main stay of medical therapy for small and medium size LV aneurysms. | ||
==Medical Therapy== | ==Medical Therapy== | ||
Medical therapy is indicated for small and medium sized LV aneurysms. It is based on decreasing cardiac work load (afterload reduction), anti ischemic therapy for [[chest pain]] and [[Anti coagulation therapy|anti coagulation]] if [[Thrombosis|mural thrombosis]] exist. | Medical therapy is indicated for small and medium sized LV aneurysms. It is based on decreasing cardiac work load (afterload reduction), anti ischemic therapy for [[chest pain]] and [[Anti coagulation therapy|anti coagulation]] if [[Thrombosis|mural thrombosis]] exist.<ref>{{cite book | last = Mann | first = Douglas | title = Braunwald's heart disease : a textbook of cardiovascular medicine | publisher = Elsevier/Saunders | location = Philadelphia, PA | year = 2015 | isbn = 978-1455751341 }}</ref> | ||
*[[Afterload]] reduction: | *[[Afterload]] reduction: | ||
:[[ACE inhibitor|ACE inhibitors]] are the drug of choice for decreasing the [[afterload]]. | :[[ACE inhibitor|ACE inhibitors]] are the drug of choice for decreasing the [[afterload]]. | ||
*Anti ischemic therapy: | *Anti ischemic therapy: | ||
:Many medications can be used to treat underlying ischemic event as well as decreasing ischemic burden including: | :Many medications can be used to treat underlying ischemic event as well as decreasing ischemic burden including:<ref>{{cite book | last = Mann | first = Douglas | title = Braunwald's heart disease : a textbook of cardiovascular medicine | publisher = Elsevier/Saunders | location = Philadelphia, PA | year = 2015 | isbn = 978-1455751341 }}</ref> | ||
:'''[[Chronic stable angina nitrate therapy|Nitrates]] | [[Chronic stable angina beta blocker therapy|Beta Blockers]] | [[Chronic stable angina treatment calcium channel blockers|Calcium Channel Blockers]] | [[Chronic stable angina treatment potassium channel openers|Potassium Channel Openers]] | [[Chronic stable angina newer antianginal agents|Newer Anti-anginal Agents]]''' | :'''[[Chronic stable angina nitrate therapy|Nitrates]] | [[Chronic stable angina beta blocker therapy|Beta Blockers]] | [[Chronic stable angina treatment calcium channel blockers|Calcium Channel Blockers]] | [[Chronic stable angina treatment potassium channel openers|Potassium Channel Openers]] | [[Chronic stable angina newer antianginal agents|Newer Anti-anginal Agents]]''' | ||
Revision as of 17:33, 9 November 2016
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Left ventricular aneurysm Microchapters |
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Differentiating Left ventricular aneurysm from other Diseases |
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Left ventricular aneurysm medical therapy On the Web |
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Risk calculators and risk factors for Left ventricular aneurysm medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
Afterload reduction and treatment anginal pain are the main stay of medical therapy for small and medium size LV aneurysms.
Medical Therapy
Medical therapy is indicated for small and medium sized LV aneurysms. It is based on decreasing cardiac work load (afterload reduction), anti ischemic therapy for chest pain and anti coagulation if mural thrombosis exist.[1]
- Afterload reduction:
- ACE inhibitors are the drug of choice for decreasing the afterload.
- Anti ischemic therapy:
- Many medications can be used to treat underlying ischemic event as well as decreasing ischemic burden including:[2]
- Nitrates | Beta Blockers | Calcium Channel Blockers | Potassium Channel Openers | Newer Anti-anginal Agents
References
- ↑ Mann, Douglas (2015). Braunwald's heart disease : a textbook of cardiovascular medicine. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455751341.
- ↑ Mann, Douglas (2015). Braunwald's heart disease : a textbook of cardiovascular medicine. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455751341.