Wednesday, June 25, 2008
What is a myocardial infarction after the ABCDE?
When patients with coronary heart disease through acute myocardial infarction, the death temporary leave, but this is certainly not万事大吉. Without active preventive measures, perhaps long before, the second myocardial infarction will be to find a home. This is not alarmist talk, because a lesson from it too much. In fact, acute myocardial infarction called myocardial infarction may only occlusion of a coronary artery, while others may also have coronary atherosclerosis, even with the MI-related coronary artery through the thrombolytic treatment or emergency coronary balloon angioplasty Operation, and so it opened up, if active treatment, it was entirely possible to create the second occlusion caused by myocardial infarction. Therefore, the current post-myocardial infarction patients, the conditions have to do that in a myocardial infarction after coronary angiography, a comprehensive look at all of the coronary artery, found that a narrow timely medical treatment purposes or balloon dilatation, so there is Possible to avoid the occurrence of re-infarction. A. generally refers to long-term use of aspirin (Aspirin) and angiotensin-converting enzyme inhibitors (ACEI). The former has anti-platelet aggregation, to reduce coronary thrombosis, which can improve heart function and reduce heart remodeling, deformation, combined with high blood pressure, heart failure are more helpful. B. Application of β-adrenergic receptor blockers (Betablocker) and control blood pressure (Blood Pressure). Has been confirmed, in the absence of taboos of the post-myocardial infarction patients with the use of β blockers, can significantly reduce the recurrence rate of myocardial infarction, improve cardiac function and reduce the incidence of sudden death. Control high blood pressure, the importance of the prevention and treatment of coronary heart disease is well known. In general, control blood pressure 130/85 mm Hg in the following, can reduce the acute coronary heart disease, hypertension and may reduce complications. C. lower cholesterol (Cholesterol) and smoking cessation (Cigarettes). As we all know, cholesterol increased from coronary heart disease is the culprit, increased serum cholesterol through diet control and proper use lipid-lowering statin drugs such as medicines, cholesterol dropped to 4.6 cents Moore / l (180 mg / l points) following this Can greatly reduce the recurrence rate of myocardial infarction. Evidence-based medicine through the study confirmed that even after myocardial infarction in patients with normal serum cholesterol also served lipid-lowering drugs, especially statins medicines so that we can greatly reduce the occurrence of acute coronary events rate. Therefore, no matter who myocardial infarction in patients with normal or high serum cholesterol, should be long-term use lipid-lowering drugs. As for quitting the benefits of well-known, not only can reduce chronic bronchitis, emphysema, pulmonary heart disease and lung cancer prevalence rate, can reduce smoking on vascular endothelial damage, thereby to reduce the occurrence of coronary heart disease目的. D. control diet (Diet) and treatment of diabetes (Diabetes). In a certain sense of coronary heart disease is not of good mouth and eat them. Daily consumption of too much cholesterol-rich food such as fat, animal offal, egg yolk, is the biggest trigger coronary heart disease risk factors. Therefore, after myocardial infarction patients should stay away from these high-cholesterol food, advocated eating light, and more fish and vegetables, less meat and eggs. Diabetes can cause high blood sugar, lipid disorders also cause an important reason. In the same conditions, diabetes prevalence rate of coronary heart disease than those to be higher than normal blood sugar 2-5 times. This shows that the control of diabetes on the importance of patients with coronary heart disease. E. Education (Education) and Physical Training (Exercise). Patients with coronary heart disease should learn some of angina, myocardial infarction, and other acute coronary events of the first-aid knowledge, the occurrence of angina or myocardial infarction symptoms appear when served with nitroglycerin, do not underestimate these simple methods, which can greatly Reduce illness and reduce mortality. Gradually after myocardial infarction with physical rehabilitation, in accordance with their respective conditions under the guidance of doctors, participate in physical exercise and proper diet. This will not only enhance physical fitness, is to reduce coronary heart disease, myocardial infarction an important measure. In short, the majority of post-myocardial infarction patients with a doctor if, under the guidance of regular follow-up, bearing in mind the ABCDE and insisted the programme, many patients with coronary artery disease after myocardial infarction, could return to work and live a normal life, Yiyang Tiannian .
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