According to the latest release of China Cardiovascular Disease Report in August this year, at present, cardiovascular disease has become the number one cause of death of Chinese people over tumors, moreover, the incidence rate is still rising, in which myocardial infarction is undoubtedly the heaviest type of cardiovascular disease. At present, there are 2.5 million myocardial infarction patients in China. Among them, 20-30% are patients with multiple myocardial infarction. This part of the patient, due to the infarction area increases or the same part of the repeated infarction, more prone to heart failure or cardiac rupture, half of the patients did not send to the hospital died, the remaining half of the patients, and half of the patients, no matter how good the treatment can not come through. Therefore, recurrent myocardial infarction is called “widow maker” in the United States. Therefore, this group of patients deserves special attention from our medical professionals and patients. So why do so many patients have multiple myocardial infarctions? Or, how to avoid myocardial infarction again? First, let’s start with the pathogenesis of coronary heart disease and myocardial infarction. (Heart, blood vessel model) The cause of coronary heart disease is the formation of plaque in the blood vessels, gradually growing, plaque gradually unstable, in the case of too much excitement, overwork, plaque rupture, the formation of thrombus blockage of blood vessels. Therefore, the first move to prevent reoccurrence is to find out the condition of the blood vessel to avoid re-occlusion. (Introduction of the surgical process, imaging film) Let’s look at a few cases: patient Lao Zhao, suggested imaging to clarify the vascular condition, “Do not do, I do not hurt now, the disease is cured.” Many patients have serious stenosis of the blood vessels after heart attack, now rest, infusion case does not attack, in the future, as soon as the amount of exercise increases, it may be onset. In fact, this is very well understood, for example, the road blocked on 70%, is not it easy to traffic jam? Patient Lao Qian, 6 days after the infarction, recommended imaging, “do not do, do imaging to be stented” It is important to note that not as long as the imaging to be stented, and only in the important blood vessel stenosis of more than 70% or more, vascular reocclusion risk is greater, we will recommend stenting. The second move, adhere to the medication, regular review. Old Sun: “My stenosis is less than 60%, I don’t need stenting, so I’m fine!!!” Go home without medication, the results of 3 years later, the old Sun again committed chest pain, sent a check imaging, stenosis aggravated 99%, stent treatment. Lao Li: I finished stenting, blood vessels through, do not need to take medication. 1 month later, reoccurrence of chest pain, imaging found that the blood vessels are completely occluded. It is important to know that stenting can only solve the stenosis of the blood vessels, hypertension, diabetes, genetics and other risk factors persist, vascular lesions may continue to aggravate, resulting in re-occlusion. Therefore, myocardial infarction patients need lifelong medication to maintain their blood vessels. Lao Zhou said, “The medicine is so expensive and has so many side effects, I don’t want to take it. Any decision is the result of weighing the risks and pros and cons. While drugs certainly have side effects, the risk of blood vessel blockage and even myocardial infarction will be greater and more expensive. Moreover, experienced doctors adjust the medication according to guidelines, based on the results of the review, and side effects rarely occur at therapeutic doses. There is another example, the old Wu put a stent, has been adhering to the medication, no chest pain episodes, so did not come to the hospital, 3 years later, heart attack. When we looked at the results of the imaging, the original stent was fine, but the other side of the blood vessel had problems. Once we were admitted to the hospital, Lao Wu’s blood pressure was as high as 170/100, and his blood lipids were nearly twice as high, so it is clear that just taking medication is not enough, and he should be reviewed regularly and the dosage should be adjusted according to the results. We believe that patients with myocardial infarction should often go to the hospital to review blood lipids, liver and kidney function. In the weather before the cold weather should also be an additional physical examination, the third move, change lifestyle habits First of all, look at a problem, why animals rarely get coronary heart disease, myocardial infarction? Because they eat less, exercise more, and do not smoke, do not drink, not sit down to watch TV. Old Chen, after the stent of heart attack, the family seeks, so big surgery, need to make up for it, stewed chicken soup, very little activity, the results in a quarrel with his partner, again myocardial infarction. In fact, myocardial infarction is a rich disease, should eat less oil, less salt, more exercise, which is the key to recovery after heart attack. Old Wang, after the heart attack, always wondering, why am I so unlucky? Every day on the boredom in the house smoking boredom, the results later committed the disease again. Doctors suggest that myocardial infarction is a serious disease, but most patients can recover and return to normal life, should be mind sunshine, balance, depression will increase the incidence of myocardial infarction and mortality. Recommended several health books for recovery after myocardial infarction. Coronary Heart Disease Recovery Diary, Good Mood, Good Heart, National Health Cell Phone Number, and so on. I have read all of these books, even several times, and the contents have been carefully examined to be trustworthy and of great help. In particular, “Revelation of Love”, which was written by a cardiologist who suffered an acute myocardial infarction, as a doctor with a wealth of specialized knowledge, and can stand in the patient’s point of view to think about a lot of doctors can not consider the problem, it is really very helpful. The fourth move, between doctors and patients, close contact. Many patients are concerned about going to the hospital to see a doctor is very troublesome, need to park, registration, queuing, often spend a long time, some small things, small problems are not willing to go to the hospital, their own on the Internet to look up, feel the adjustment. This often causes big problems. “Aspirin should be taken for a while and stopped for a while. Stents are a technology that has long since been phased out in the United States.” That’s how rumors like this have tragic consequences. But again, it’s not practical to ask to be friends with your doctor and call whenever you need to. So what to do? We utilized an online platform and set up a follow up system. By scanning the QR code, you can easily consult your primary care doctor, get targeted advice, or make an appointment to register for a consultation. This allows patients to get more standardized treatment, while reducing a lot of trouble. The fifth move, prepare emergency medicine, timely medical treatment at the onset of the recent days the weather suddenly turned cold, the old Liu recurrent angina, containing nitroglycerin a few minutes, he thought he had done the stent, has been taking medication regularly, did not take it seriously, but half a day after the occurrence of myocardial infarction. People will age, blood vessels will also gradually aging, again myocardial infarction is difficult to avoid absolutely. The golden time window for heart attack treatment is 6-12 hours, the earlier the better. Time is myocardium, time is life. In the United States, the average time of myocardial infarction is 3-4 hours, and intervention or thrombolytic therapy can be carried out in a very short time. However, in China, the average myocardial infarction can only be seen 12h after the onset of myocardial infarction. Moreover, it is not uncommon to have a delay of several hours to consider whether to perform stenting. Various malignant events often occur. Therefore, we urge that once the onset of the disease, you should immediately take nitroglycerin, fast-acting heart pills and other drugs, while calling 120, timely access to medical care, and please trust our doctors to prevent further deterioration of the disease. There is an old song called “How Much Love Can Be Repeated”. We, doctors, hope that people should be treated when they are sick and prevented when they are well, and must not be capricious. Doctors and patients work together so that myocardial infarction does not make a comeback.