FINAL PROFESSIONAL MBBS
ALL INDIA INSTITUTE OF MEDICAL
A form of Ischemic Heart Disease (IHD)
IHD can be divided into two groups
Unstable Angina (UA) is a part of Acute Coronary Syndrome (ACS)
Unstable Angina (UA) can be defined as angina pectoris or equivalent
ischemic discomfort with presence of any one of the following features :
It occurs at rest or with minimal exertion and lasts more than 10 minutes
It is severe in nature and acute in onset
Attacks are more severe ,prolonged and frequent than previous attacks
(Also known as Crescendo Pattern)
Blood thinners (antiplatelet drugs) are used to treat and prevent unstable angina.
These medicines may be able to reduce the chance of a heart attack or the
severity of a heart attack that occurs.
During an unstable angina event:
Patient is given heparin (or another blood thinner) and nitroglycerin (under the
tongue or through an IV)
Other treatments may include medicines to control blood pressure,
anxiety, abnormal heart rhythms, and cholesterol (such as a statin drug)
Early coronary angiography and revascularization are the main aims of surgical
management of Unstable angina.
Either Per Cutaneous angioplasty (PCA) or Coronary artery bypass graft (CABG) is
the treatment of choice for high risk patient with unstable angina.