Page last updated: 2024-10-27

fentanyl and Acute Coronary Syndrome

fentanyl has been researched along with Acute Coronary Syndrome in 4 studies

Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
fentanyl : A monocarboxylic acid amide resulting from the formal condensation of the aryl amino group of N-phenyl-1-(2-phenylethyl)piperidin-4-amine with propanoic acid.

Acute Coronary Syndrome: An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode that ultimately may lead to MYOCARDIAL INFARCTION.

Research Excerpts

ExcerptRelevanceReference
"Dual antiplatelet therapy (DAPT) remains the cornerstone of acute coronary syndrome (ACS) management, and ticagrelor is one of the commonly used second antiplatelet agents."9.41Comparison of the effect of Morphine and Fentanyl in patients with acute coronary syndrome receiving Ticagrelor - The COMET (Comparison Morphine, Fentayl and Ticagrelor) randomized controlled trial. ( Baber, U; Badimela, P; Balasubramaniyan, JV; Iyer, M; Jebaraj, R; Karthikeyan, G; Krishnamoorthy, P; Krishnamurthy, P; Malepati, B; Manokar, P; Muralidharan, TR; Murthy, JS; Paneerselvam, T; Ramadoss, M; Ramesh, S; Sadhanandham, S; Senguttuvan, NB; Suman, F; Thanikachalam, S; Vallivedu, MV; Vinod Kumar, B, 2021)
"In this prospective observational study, we administered intranasal fentanyl in the out-of-hospital setting to adults and children older than 8 years with severe pain resulting from orthopedic conditions, abdominal pain, or acute coronary syndrome refractory to nitroglycerin spray."3.80Safety of intranasal fentanyl in the out-of-hospital setting: a prospective observational study. ( Dahl, JB; Hansen, MS; Karlsen, AP; Pedersen, DM; Trautner, S, 2014)

Research

Studies (4)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's2 (50.00)24.3611
2020's2 (50.00)2.80

Authors

AuthorsStudies
Senguttuvan, NB1
Suman, F1
Paneerselvam, T1
Malepati, B1
Ramesh, S1
Vallivedu, MV1
Badimela, P1
Ramadoss, M1
Iyer, M1
Krishnamurthy, P1
Vinod Kumar, B1
Balasubramaniyan, JV1
Sadhanandham, S1
Jebaraj, R1
Manokar, P1
Muralidharan, TR1
Murthy, JS1
Thanikachalam, S1
Krishnamoorthy, P1
Baber, U1
Karthikeyan, G1
Buckley, JP1
Mylotte, D1
McEvoy, JW1
Karlsen, AP1
Pedersen, DM1
Trautner, S1
Dahl, JB1
Hansen, MS1
Kucuk, HO1
Kucuk, U1
Kolcu, Z1
Balta, S1
Demirkol, S1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Prehospital Analgesia With Intra-Nasal Ketamine[NCT02753114]Phase 4120 participants (Actual)Interventional2017-11-06Completed
Comparison of Sub-dissociative Dose Intranasal Ketamine to Intranasal Fentanyl for Treatment of Moderate to Severe Pain in Pediatric Patients Presenting to the Emergency Department: a Prospective, Randomized, Double-blind Study[NCT02388321]Phase 422 participants (Actual)Interventional2015-05-01Terminated (stopped due to Patients meeting inclusion criteria was low, and PI went to another institution.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Adverse Events at 30 Minutes

The patient were asked at 30 minutes post administration of analgesia if they experienced any side effects like nausea, vomiting, headache etc. (NCT02388321)
Timeframe: 30 minutes

InterventionParticipants (Count of Participants)
Ketamine0
Fentanyl0

Pain Score at 30 Minutes

An 11 point Likert Visual Analog Scale with 0 being no pain, 5 being moderate pain and 10 being very severe pain was verbally administered to the patient at 30 minutes post administration of analgesia. (NCT02388321)
Timeframe: 30 minutes

Interventionunits on a scale (Mean)
Ketamine3.36
Fentanyl2.09

Trials

1 trial available for fentanyl and Acute Coronary Syndrome

ArticleYear
Comparison of the effect of Morphine and Fentanyl in patients with acute coronary syndrome receiving Ticagrelor - The COMET (Comparison Morphine, Fentayl and Ticagrelor) randomized controlled trial.
    International journal of cardiology, 2021, 05-01, Volume: 330

    Topics: Acute Coronary Syndrome; Fentanyl; Humans; Morphine; Percutaneous Coronary Intervention; Platelet Ag

2021

Other Studies

3 other studies available for fentanyl and Acute Coronary Syndrome

ArticleYear
Platelets and poppies: Do morphine and fentanyl differ?
    International journal of cardiology, 2021, 06-15, Volume: 333

    Topics: Acute Coronary Syndrome; Analgesics, Opioid; Blood Platelets; Fentanyl; Humans; Morphine; Papaver; T

2021
Safety of intranasal fentanyl in the out-of-hospital setting: a prospective observational study.
    Annals of emergency medicine, 2014, Volume: 63, Issue:6

    Topics: Abdominal Pain; Acute Coronary Syndrome; Acute Pain; Administration, Intranasal; Adolescent; Adult;

2014
Safety of intranasal fentanyl in the out-of-hospital setting: a prospective observational study.
    Annals of emergency medicine, 2014, Volume: 63, Issue:6

    Topics: Abdominal Pain; Acute Coronary Syndrome; Acute Pain; Administration, Intranasal; Adolescent; Adult;

2014
Safety of intranasal fentanyl in the out-of-hospital setting: a prospective observational study.
    Annals of emergency medicine, 2014, Volume: 63, Issue:6

    Topics: Abdominal Pain; Acute Coronary Syndrome; Acute Pain; Administration, Intranasal; Adolescent; Adult;

2014
Safety of intranasal fentanyl in the out-of-hospital setting: a prospective observational study.
    Annals of emergency medicine, 2014, Volume: 63, Issue:6

    Topics: Abdominal Pain; Acute Coronary Syndrome; Acute Pain; Administration, Intranasal; Adolescent; Adult;

2014
Misuse of fentanyl transdermal patch mixed with acute coronary syndrome.
    Human & experimental toxicology, 2016, Volume: 35, Issue:1

    Topics: Acute Coronary Syndrome; Adult; Analgesics, Opioid; Drug Overdose; Female; Fentanyl; Humans; Prescri

2016