UMEM Educational Pearls

Title: NSAIDS and NSTE-ACS

Keywords: NSAIDS, NSTE-ACS, acute coronary syndrome, non-steroidal anti-inflammatory medications (PubMed Search)

Posted: 6/19/2011 by Amal Mattu, MD (Updated: 12/26/2024)
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Patients with Non-STE-ACS should not be given any NSAIDs aside from aspirin...that includes COX-2 agents. These medications in patients with acute or recent NSTE-ACS have been associated with an increased risk of hypertension, reinfarction, heart failure, myocardial rupture, and death.

References

ACC/AHA Focused Update of the 2007 Non-STE-ACS Guidelines (Circulation 2011)