Fundamentos del tratamiento farmacológico actual de la cardiopatía isquémica

The treatment of ischemic heart disease has advanced in parallel with increasing knowledge of the pathophysiological causes of the disease. The therapeutic strategies we use today rest on four central pillars: demonstration of coronary thrombosis as the immediate cause of acute myocardial infarction, the influence of the renin-angiotensin-aldosterone system on ventricular remodeling, the significance of the adrenergic system for ventricular function, and the prognostic value of reducing the cholesterol level. This article contains a brief review of antithrombotic drugs, beta-blockers, drugs that block the renin-angiotensin- aldosterone system, and statins.