Friday, October 26, 2007

The prevention of myocardial infarction

With Angina or have risk factors for coronary heart disease, should make every effort to prevent the occurrence of myocardial infarction, in everyday life we must pay attention to the following points: 1. Do not carry too heavy to move goods. When lifting weights inevitable move stoop breath, and this breathing, circulatory system and the impact of similar force breath stool, elderly patients with coronary artery disease is a common cause of induced myocardial infarction. 2. Relax spirit, a happy life, anything can Tairan to handle them. 3. Bathing should pay special attention to. Hunger meal or not the circumstances bath. The best water temperature and the temperature is the temperature too hot skin blood vessels can significantly expanded, a large number of blood flow to the surface, can cause heart and brain ischemia. Bath time not too long, bathroom General sultry without ventilation, the human environment in such a higher level of metabolism, easily hypoxia, fatigue, especially elderly patients with coronary artery disease. The more serious coronary heart disease patients take a bath, should help in the conduct of others. 4. Climate change should beware. Strong cold air in the cold or under the influence of coronary artery spasm can occur secondary to thrombosis and caused acute myocardial infarction. Dramatic changes in climate, low air pressure, coronary heart disease patients will be obvious discomfort. National data show that sustained low temperature, wind, rain acute myocardial infarction is one of the incentives. So exception bad weather, we should pay attention to patients with coronary heart disease or appropriate warm clothing nitroglycerin plus category expansion crown drug protection. We need to know the signs and symptoms to identify infarction and give timely treatment. About 70% of myocardial infarction patients with aura symptoms, mainly as follows: ① suddenly obvious aggravated angina attack; ② angina than ever changed the nature or use of nitroglycerin difficult mitigation; ③ pain accompanied by nausea, vomiting, sweating or apparent bradycardia; ④ angina attack occurs when heart failure thus increasing; ⑤ 1 ECG showed ST-segment depression or apparent rise of T-wave inversion or high tip, or with arrhythmia; ⑥ elderly patients with coronary heart disease of unknown causes sudden arrhythmias, heart failure, shock, respiratory difficulties or syncope, and so on. Aura symptoms myocardial infarction in more than one week before the onset, even a small number of patients in the weeks ahead. About 40% of patients occurred in infarct 1-2 days. Once these symptoms occur, we must take seriously. First strictly bedridden patients to maintain calm and avoid excessive mental tension; Sublingual nitroglycerin or nitroglycerin spray inhalation. Immediately contact with the major hospitals in the vicinity, while making preparations to the hospital. Transport must be able to smooth transit. Patients should avoid get up, the situation is relatively stable when transported by stretcher. Sustainable during transportation or intermittent use of nitroglycerin, oxygen, and should Jiaobi an aspirin (150-300 mg).

No comments: