ST elevation myocardial infarction inhibition of the renin-angiotensin-aldosterone system at discharge: Difference between revisions
No edit summary |
No edit summary |
||
| Line 19: | Line 19: | ||
{{Editor Help}} | {{Editor Help}} | ||
==Angiotensin Converting Enzyme Inhibition== | |||
==Aldosterone Blockade== | |||
Data regarding the safety and efficacy [[aldosterone]] inhibition comes from those trials of [[heart failure]] that enrolled pateints with a prior [[MI]]. | |||
Revision as of 00:35, 4 May 2009
| Myocardial infarction | |
| ICD-10 | I21-I22 |
|---|---|
| ICD-9 | 410 |
| DiseasesDB | 8664 |
| MedlinePlus | 000195 |
| eMedicine | med/1567 emerg/327 ped/2520 |
|
WikiDoc Resources for ST elevation myocardial infarction inhibition of the renin-angiotensin-aldosterone system at discharge |
|
Articles |
|---|
|
Media |
|
Evidence Based Medicine |
|
Clinical Trials |
|
|
|
Guidelines / Policies / Govt |
|
|
|
Books |
|
News |
|
Commentary |
|
Definitions |
|
Patient Resources / Community |
|
|
|
Healthcare Provider Resources |
|
Continuing Medical Education (CME) |
|
International |
|
|
|
Business |
|
Experimental / Informatics |
| Cardiology Network |
 Discuss ST elevation myocardial infarction inhibition of the renin-angiotensin-aldosterone system at discharge further in the WikiDoc Cardiology Network |
| Adult Congenital |
|---|
| Biomarkers |
| Cardiac Rehabilitation |
| Congestive Heart Failure |
| CT Angiography |
| Echocardiography |
| Electrophysiology |
| Cardiology General |
| Genetics |
| Health Economics |
| Hypertension |
| Interventional Cardiology |
| MRI |
| Nuclear Cardiology |
| Peripheral Arterial Disease |
| Prevention |
| Public Policy |
| Pulmonary Embolism |
| Stable Angina |
| Valvular Heart Disease |
| Vascular Medicine |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.
Angiotensin Converting Enzyme Inhibition
Aldosterone Blockade
Data regarding the safety and efficacy aldosterone inhibition comes from those trials of heart failure that enrolled pateints with a prior MI.
Guidelines (Do not edit)
| “ |
Class I 1. An ACE inhibitor should be administered orally during convalescence from STEMI in patients who tolerate this class of medication, and it should be continued over the long term. (Level of Evidence: A) 2. An ARB should be administered to STEMI patients who are intolerant of ACE inhibitors and have either clinical or radiological signs of heart failure or LVEF less than 0.40. Valsartan and candesartan have demonstrated efficacy for this recommendation. (Level of Evidence: B) 3. Long-term aldosterone blockade should be prescribed for post-STEMI patients without significant renal dysfunction (creatinine should be less than or equal to 2.5 mg/dL in men and less than or equal to 2.0 mg/dL in women) or hyperkalemia (potassium should be less than or equal to 5.0 mEq/L) who are already receiving therapeutic doses of an ACE inhibitor, have an LVEF of less than or equal to 0.40, and have either symptomatic heart failure or diabetes. (Level of Evidence: A) Class IIa In STEMI patients who tolerate ACE inhibitors, an ARB can be useful as an alternative provided there are either clinical or radiological signs of heart failure or LVEF is less than 0.40. Valsartan and candesartan have established efficacy for this recommendation. (Level of Evidence: B)
|
” |
References
Source