How can cardiac arrest be managed effectively?

Question

Hello doctor,

My father, aged 78, is suffering from heart artery blockage along with COPD. He underwent an angiogram, ECG, and related blood tests. Currently, he has been taking the following medications for the last six months as per the doctor's advice: Nitroglycerin 6.4 mg twice daily, Bisoprolol 2.5 mg once daily, Nicorandil 5 mg twice daily, Ranolazine 500 mg (three strips) twice daily, Levosalbutamol and Beclometasone three times daily, Glimepiride1 mg once in the early morning, Aspirin and Clopidogrel once at bedtime, and Rosuvastatin 10 mg once at bedtime.

Recently, my father has been experiencing chest pain during urination, bathing, and at bedtime, for which he has taken half a 5 mg tablet of Isosorbide dinitrate. Could you please suggest if any additional medication or increased dosage is necessary to avoid surgery? Additionally, in the event of a cardiac arrest, what medication should be administered before taking him to the hospital?

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

Regarding medication, your father is already on the maximum dosage. You might consider adding Trimetazidine 35 mg twice a day. Please consult his specialist doctor, discuss this option with them, and only start the medication with their consent. However, after reviewing the angiogram report (attachment removed to protect patient identity), I strongly believe that he may require early CABG (coronary artery bypass grafting) or staged PTCA (percutaneous transluminal coronary angioplasty), as recommended by the treating cardiologist.

In the event of sudden cardiac arrest, the only treatment would be immediate cardiopulmonary resuscitation and rushing him to the nearest hospital. Intravenous drugs should only be administered in a hospital setting.

Regards.