How is myocardial infarction treated?

Written by Li Hai Wen
Cardiology
Updated on September 04, 2024
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Myocardial infarction is a relatively common critical illness in our daily lives. Many patients often delay their condition severely due to untimely treatment, which becomes an important cause of disability and death. So how should myocardial infarction be treated? It should be treated from the following two aspects: First, acute myocardial infarction. For acute myocardial infarction, it is necessary to promptly open the occluded blood vessels, restore cardiac perfusion, and save viable myocardium. This can be achieved through emergency interventional treatment or thrombolytic therapy. Second, old myocardial infarction. At this time, treatment mainly involves taking oral aspirin and statins to stabilize the disease and prevent the condition from worsening or deteriorating. (Medication should be used under the guidance of a professional doctor.)

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Myocardial infarction refers to the occurrence of ischemia and hypoxia in cardiac muscle cells, leading to necrosis of these cells. It is a very serious condition of the heart. Patients with myocardial infarction should pay attention to lifestyle adjustments, such as quitting smoking, limiting alcohol, adopting a low-salt and low-fat diet, eating less or avoiding fatty meat and animal offal, and avoiding staying up late, emotional excitement, fatigue, etc. It is also important to control high-risk factors of myocardial infarction, for example, patients with hypertension should control their blood pressure, those with diabetes should manage their blood sugar, and patients with high blood lipids should control their blood lipid levels and ensure they meet standard levels, etc., follow doctor’s advice, take medications on time, and have regular check-ups, etc.

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Symptoms of myocardial infarction with coma

Myocardial infarction is a serious disease that poses a severe threat to human life and health. The basis of its onset is myocardial ischemia, mainly due to coronary artery infarction. It generally manifests as severe pain in the precordial area, and some may experience gastrointestinal symptoms such as nausea and vomiting, eventually leading to overall weakness, fainting, and coma. Patients may exhibit symptoms of cerebral ischemia, such as dizziness, disturbed consciousness, and confusion. Some may experience diffuse cerebral ischemia. After a myocardial infarction occurs, it is crucial to provide immediate rescue to save the patient's life.

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Is myocardial infarction class II serious?

New York Heart Association (NYHA) Class II heart function is not severe. Myocardial infarction is a relatively serious type of coronary heart disease, which occurs due to the blockage of the coronary arteries leading to myocardial necrosis, and it carries certain risks. It can ultimately lead to complications such as sudden death and heart failure. At this stage, with Class II heart function, symptoms of heart failure can appear under conditions of significant exertion, including chest tightness, breathlessness, fatigue, and shortness of breath. These symptoms correspond to a relatively less severe stage of heart failure.

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Is myocardial infarction dangerous?

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How to treat atrial myocardial infarction?

Atrial myocardial infarction is also a type of myocardial infarction. Isolated atrial myocardial infarction is relatively rare and often coexists with ventricular infarction. Therefore, the treatment principles for myocardial infarction are essentially the same, focusing on promptly improving myocardial ischemia, myocardial necrosis, and the long-term prognosis of the patient. The treatment mainly includes: first, reperfusion therapy, which involves thrombolysis for ST-segment elevation cases, stent placement for most patients, and bypass surgery for a small number of patients. The second aspect is secondary prevention and treatment, including antiplatelet therapy, blood pressure control, blood sugar management, diet, exercise, and other comprehensive treatments. The peculiarity of atrial myocardial infarction is that some patients may experience atrial fibrillation, thus some of these patients may require treatment to control ventricular rate.