When myocardial infarction occurs, it is necessary to consult the hospital in time to restore coronary perfusion and ensure the blood supply to the important organs of heart and brain, and at the same time, it can be treated by general symptomatic therapy, coronary artery dilatation, lipid stabilization, anti-platelet and other auxiliary treatments.
1. Restoration of coronary perfusion: Early restoration of coronary perfusion plays a significant role in prognosis, and commonly used methods include coronary intervention, coronary artery bypass grafting, and pharmacological thrombolysis, etc. Among them, coronary intervention includes balloon angioplasty, coronary artery bypass grafting, and drug thrombolysis. Coronary intervention includes balloon angioplasty and stent implantation, which is applicable to patients within 24 hours of the onset of disease; coronary bypass grafting is applicable to patients with large infarcts or patients with ineffective coronary intervention and thrombolysis; thrombolytic therapy: commonly used medications include streptokinase, urokinase and so on.
2. General symptomatic treatment: including oxygen, cardiac monitoring, symptomatic pain relief, bed rest, keep the environment quiet, etc.
3. Expansion of coronary artery: acute myocardial infarction can reduce myocardial ischemia by expanding coronary artery such as nitroglycerin to alleviate the symptoms, and attention should be paid to the caution of patients with low blood pressure.
4. Lipid regulation and stabilization: in the acute stage, if the patient is combined with dyslipidemia, atorvastatin calcium tablets and resuvastatin calcium tablets can be taken to regulate lipid stabilization and slow down the progress of coronary artery atherosclerosis in the long term.
5. Antithrombotic drugs: can reduce platelet aggregation, anticoagulation, inhibit the further synthesis of thrombus, including aspirin, clopidogrel, heparin, etc., need to be vigilant about whether there is bleeding from the nasal mucosa and other places.
When acute myocardial infarction occurs, it should be promptly consulted in the chest pain center to fight for the golden time and restore the coronary circulation as early as possible.