Myocardial infarction can be treated by general therapy, pain relief, antiplatelet/anticoagulation, reperfusion of myocardium, and antishock.
1. General treatment: including bed rest, monitoring, oxygen and other treatments.
2. Relieve pain: morphine, pethidine, propranolol and other drugs can be used to relieve patients’ anxiety and reduce oxygen consumption.
3. Antiplatelet/anticoagulation: use aspirin, clopidogrel, and other drugs for antiplatelet, use ordinary heparin, low molecular heparin and other drugs for anticoagulation. Usually combined antiplatelet/anticoagulation can prevent thrombosis and re-occlusion of blood vessels.
4. Reperfusion of myocardium: mainly to promote cardiac coronary artery recanalization of blood supply. Coronary vasodilator drugs such as nitroglycerin, isosorbide nitrate and other drugs can be used, or implantation of cardiac vascular stents, bypass and other surgical methods. Urokinase, streptokinase and other drugs thrombolytic recanalization.
5. Anti-shock: the main role is to avoid cerebral ischemia and supplement blood volume. The use of dopamine and other drugs to maintain the treatment.
Myocardial infarction belongs to the acute and critical disease, the risk of death is high, should be timely hospital consultation to avoid delayed condition.