Sunday, June 29, 2008

How to prevent recurrence of myocardial infarction after more

Over the past 20 years, as a result of strengthened monitoring and raising the level of treatment, acute myocardial infarction hospital mortality decreased from 30 percent down to below 10%. But again infarction or multiple infarction patients increased, died after a myocardial infarction one of the main reasons. So in addition to the acute phase of treatment should be positive, post-myocardial infarction should also strengthen the rehabilitation and secondary prevention, to extend the life of patients, improving the quality of life and the restoration of the ability to work. After myocardial infarction secondary prevention include: 1. The patients and their families health education, so that patients and families of the sick understanding of the significance of various prevention measures so as to minimize the disease's concerns, in the prevention and treatment of co-ordination can be positive. 2. Arrangement reasonable meals, to reduce total fat, saturated fatty acids and cholesterol intake, overweight, to restrict calories. The dietary adjustments Three months later, still obviously abnormal blood lipid levels, abnormal blood lipid characteristics can be against choice lipid regulating agent. 3. Smokers exhortation in addition to stress. Smoking is unfair to the risk factors of atherosclerosis, but also angina, myocardial infarction and re-infarction risk factors. After the restoration of myocardial infarction patients, continue to re-infarction rate of smokers about smoking or non-smokers who had quit two times. Norwegian multi-center study, myocardial infarction after 17 months, ex-smokers than smokers to continue to reduce the 45 percent infarction, three years later, ex-smokers than smokers died and a further reason for cardiac infarction decreased significantly. Passive smoking and smokers have the same risk, should be urged to quit the relatives of patients, patients should return to work after the best in a smoke-free environment. Smoking may trigger coronary artery spasm, platelet aggregation, and reduce coronary collateral circulation of reserve capacity. With hypercholesterolemia, smoking and the extent of coronary atherosclerosis was highly relevant, smoking can increase coronary artery disease, which may be easily induced to further the cause of infarction. 4. Appropriate physical activity and training. Can take walking, gymnastics, tai chi, qigong exercises and other methods to enhance physique. 5. With hypertension or diabetes, should be properly controlled. 6. Anti-platelet therapy. Platelet injustice in the atherosclerosis in the process, but also in coronary artery spasm, or thrombosis myocardium, such as micro-cycle caused by the accumulation of myocardial ischemia, myocardial infarction or sudden death play an important role in both. Aspirin is cheap easy for the anti-platelet agents, low side effects, for long-term application. 7. Application β-receptor blocker. A large number of clinical trial results show that β-blockers can reduce the incidence of myocardial infarction after infarction rate, a rate of sudden death, cardiac mortality and total mortality. Β-blockers are commonly used propranolol, Effects of timolol, metoprolol, such as the United States. 8. Acute myocardial infarction after the resumption, the doctors should adhere to under the guidance of medication, out-patient follow-up to observe the condition and adjust medication. And reproduction such as angina, should be timely to hospital for treatment, to prevent the stems.

No comments: