Acute coronary syndrome / post-MI
Acute coronary syndrome / post-MI · ICD-10: I24.9, I21.9
Drugs and regimens
Acute MI — accelerated weight-based regimen (max 100 mg)
PCI in HIT — infusion 25 mcg/kg/min (plus a 350 mcg/kg bolus)
PCI — 0.75 mg/kg bolus, then 1.75 mg/kg/h infusion for the procedure
PCI — 30 mcg/kg bolus before PCI
Infusion 4 mcg/kg/min right after the bolus, ≥2 h or the duration of PCI
LV dysfunction after MI — start 6.25 mg twice daily
ACS — loading dose 300 mg (once)
ACS — maintenance 75 mg once daily
Unstable angina and non-Q-wave MI — 120 units/kg every 12 h (max 10,000 units)
Acute MI (within 24 h) — 5 mg, then 5 mg, then 10 mg daily
Post-MI — maintenance 100 mg twice daily
ACS managed with PCI — 10 mg daily (after a 60 mg load)
Weight <60 kg — 5 mg daily (after a 60 mg load)
Acute MI, DVT, pulmonary embolism, arterial thromboembolism
Acute STEMI — single weight-based bolus, max 50 mg
ACS — 180 mg loading dose
ACS or prior MI — 90 mg twice daily (first year), then 60 mg twice daily