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How to manage acute coronary syndrome?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been recommended the injection of Fondaparinux based on my ECG results. The ECG report indicates reduced blood supply to one valve, but everything else is fine. I have already taken one injection. I am also taking other medications, including Rosumac Gold (Aspirin, Rosuvastatin, and Clopidogrel) and Isosorbide dinitrate. Should I take the remaining two injections of Fondaparinux, or should I consult a cardiologist? I had an echocardiogram done two years ago, and it was normal.

Please advise.

Hello,

Welcome to icliniq.com.

These medicines are prescribed for acute coronary syndromes. Please send me the ECG (electrocardiogram) so I can guide you on the next steps. Additionally, please provide your age, symptoms, and details of any blood tests that have been performed.

Regards.

Patient's Query

Hello doctor,

Thank you for the reply.

I have attached the file.

Hello,

Welcome back to icliniq.com.

The ECG is normal (attachment removed to protect patient identity). If there are no symptoms of chest pain, this treatment is unnecessary. The medicines you mentioned are typically prescribed for heart attack patients. Since this ECG is normal, and if you experience chest pain, I recommend checking your cardiac troponin levels. If this test is normal, a heart attack can be ruled out, and such treatment will not be required. Administering these medicines to someone without a clear indication is not without risks, as all drugs have potential side effects.

Regards.

Patient's Query

Hello doctor,

Thank you for the reply.

I had loose motions and gastritis, followed by syncope lasting an hour the previous night due to a drop in blood pressure. After receiving an emergency injection to raise my blood pressure, it returned to normal. I then visited a doctor for an ECG, and he prescribed medications such as Fondaparinux, Isosorbide dinitrate, and Rosumac Gold (Aspirin, Rosuvastatin, and Clopidogrel), stating that the ECG indicated reduced blood supply to a valve. He advised continuing Fondaparinux injections for three days and others for a month.

Hello,

Welcome back to icliniq.com.

The loose motions are due to acute gastroenteritis. The ECG is normal, and there is no need for heart medications.

Regards.

Medically reviewed byDr. Nithila. A

Published At September 2, 2019
Reviewed AtNovember 25, 2024

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