The patient: August 20, 2007 at 13:00 noon sudden onset of acute widespread anterior myocardial infarction, in the city treatment is not very effective, in the afternoon of August 21, 15:30 in the pcl surgery in the hospital, laboratory tests, August 27, 2007 left ventricular apical ventricular wall tumor formation 1. nearly a year after stent intervention should also pay attention to those medications and maintenance 2. ventricular wall tumor nearly a year how to properly treat, how to deal with the future, When will it rupture? Thank you! Doctor: Hello! I don’t know if I have symptoms now, such as chest tightness, shortness of breath, chest pain, etc. There are several aspects of post-operative medication for coronary artery disease: one is anticoagulation, and you need to take Poliovel for at least a year after stenting. The second is the secondary prevention of coronary heart disease, which is the treatment of hypertension, diabetes, hyperlipidemia, etc. For patients with heart attack, they should take ACEI drugs such as Mono to prevent heart deformation. Regarding ventricular wall tumor, first of all, it depends on the size, if it is not large, it can be observed. Secondly, it depends on the cardiac function, if it is okay, it is also observed. The main risks of ventricular wall tumors are affecting cardiac function, causing arrhythmias and forming thrombi, which rarely rupture. The only drug treatment is anticoagulation to prevent the formation of thrombus. You should now pay attention to the presence of symptoms, anticoagulation, control of blood pressure blood sugar lipids, etc., and also to strengthen exercise (if the heart function is okay). Patient: First of all, I appreciate your prompt reply, Dr. Sun, thank you very much! I currently have no chest tightness, shortness of breath, chest pain and other symptoms, ventricular wall tumor is small, blood pressure blood glucose and lipids are basically normal (I am in good health, age 47 years old, from the army to do is a diver, 99 years transferred, now engaged in the people’s police work). I’ve been taking Bolivar for almost a year now, as well as Lepidodonek, Biaxin, Isosorbide mononitrate tablets, Simvastatin, and the Chinese medicine compound Danshen drops. I’m asking Dr. Sun 1. what about the above drugs, 2. will I be able to switch to domestic Poliovel for 6 months after one year of Poliovel, 3. what other tests do I need to know about my heart function due to limited local medical conditions? Doctor: Hello! If there is no discomfort, you can observe. 1. The above drugs are completely correct. In recent years, some people think that if there is no angina, you can not eat isosorbide mononitrate tablets, it is recommended that you stop for a period of time to see. LDL should be reduced to below 100mg/dl. 2. I am not sure about the effect of domestic Poliovel. If there is no economic problem, it is better to take imported ones (in Beijing health insurance can be fully reimbursed). Currently, it is only required for at least one year, not for several years, so it is better to take it for a longer period of time if you have no financial problems. In addition, blood tests should be done at least once every three months. 3. The heart function test is ultrasound, combined with symptoms, no special. Symptoms are the most important. 4. Although the blood pressure is normal, for patients with heart attack must eat ACEI class drugs, you can start with a half amount, pay attention to blood pressure, gradually increase the amount. 5. Strengthen exercise. At present, it is believed that a decrease in exercise increases the risk of re-occurrence. Our hospital has a special clinic to guide you to gradually increase the amount of exercise by checking the heart and lung function, and you can come to see it if you have the condition. In addition, we will add an introduction to exercise rehabilitation guidance on our departmental webpage in the near future. We wish you good health. Patient: Hello, Dr. Sun! I’ve had my stent intervention for almost a year now: 1. what kind of review do I need to do in the hospital now? 2. do I need to do coronary angiography? 3. what kind of instrumentation can I use to know the condition of my heart? 4. what kind of ACEI drugs do I need to take in the county? How do I take them? I now have the following prescriptions; Poliovel 75mg (foreign) 1 day 1 time each time 1 capsule of Biaxin 0.1g (foreign) 1 day 1 time each time 1 capsule of Lobetac 25mg 1 day 2 times each time half a capsule of isosorbide mononitrate tablets 20mg 1 day 2 times each time 1 capsule per month for 5 days (to prevent resistance) Simvastatin 10mg 1 capsule per night after meals Chinese medicine compound Danshin Drops 27mg 1 day 3 times each time 5 capsules per day Adhere to 1 hour walk, control diet low salt and low fat. Thank you! I’m really sorry to bother you again. Doctor: Hello! You can first do 64-row CT to look at the coronary arteries, and then perform coronary angiography if necessary. There are many ACEI or ARB class d drugs, ask your local cardiologist which ones are available, different hospitals in different areas have different drugs, we often use Mono or Asterix.