The treatment of acute extensive anterior and high lateral wall myocardial infarction includes reperfusion therapy, antiplatelet, anticoagulation, coronary dilation, plaque stabilization, pain relief, and oxygenation.
Reperfusion therapy is the core of treatment for acute myocardial infarction, including thrombolysis, transperipheral venous coronary vascular stenting (PCI), and cardiac bypass grafting. Among them, PCI treatment can visually check the stenosis blockage of coronary vessels, and at the same time, it can be targeted treatment, which is more widely used.
Antiplatelet therapy in the early stage is dual antiplatelet aggregation, which can use aspirin, tegretol, clopidogrel, etc.; anticoagulation therapy is common with low molecular heparin; coronary expansion therapy includes intravenous or oral application of nitrate drugs; and lipid-regulating drugs such as riscovastatin and atorvastatin are commonly used for stabilizing plaques.
The treatment of myocardial infarction is a comprehensive treatment, and the specific treatment plan should be evaluated and formulated by specialists, do not self-medicate to avoid delaying the condition.