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 of anginal pain, are the mainstay of medical therapy for small and medium-sized LV aneurysms.

Medical Therapy

Medical therapy is indicated for small and medium-sized LV aneurysms. The aim of medical therapy is to decrease cardiac work load (afterload reduction), provide 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 the underlying ischemic event, and also decrease the ischemic burden. Examples of such medications include:^[1]

Nitrates | Beta Blockers | Calcium Channel Blockers | Potassium Channel Openers | Newer Anti-anginal Agents

References

↑ ^1.0 ^1.1 Mann, Douglas (2015). Braunwald’s heart disease : a textbook of cardiovascular medicine. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455751341.

Template:WikiDoc Sources

[brawn-1] 1.0 ^1.1 Mann, Douglas (2015). Braunwald’s heart disease : a textbook of cardiovascular medicine. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455751341.

[1]