Intervention is the first choice in the treatment of acute myocardial infarction. National and international treatment guidelines are clear about its preferred status. The best time to intervene is as early as possible within 12 hours of the onset of the acute phase or within 24 hours of the onset of symptoms of myocardial ischemia. More than 24 hours, already asymptomatic and no shock, severe heart failure can be done after 7-10 days, but the effect is far less than the effect of emergency immediately. Vascular occlusion after a large number of myocardial necrosis, serious life-threatening, even if the survival of the patient's cardiac function is also seriously impaired, heart failure, arrhythmia, etc.. Time is myocardium, time is life, open the occluded blood vessel is the doctor's first choice. Hospitals that do not have the conditions are required to transfer as soon as possible to hospitals that have the conditions for emergency interventional therapy. Thrombolytic therapy used to be the conventional therapy, but due to its low and incomplete blood vessel opening rate, bleeding complications, and cerebral hemorrhage is fatal. Therefore, it has been replaced by interventional therapy, and is currently only used in remote areas and when patients cannot be transferred to large hospitals with interventional therapy in a timely manner. The patient after thrombolysis recanalization also need to choose the opportunity to routinely do coronary angiography, and take stent implantation or coronary artery bypass grafting.
(Dr. Li Chenwen solemn reminder: due to the inability to meet the patient, can not fully understand the condition, the above recommendations are for reference only, the specific diagnosis and treatment, please be sure to go to the hospital under the guidance of a doctor!)
Weifang City Hospital of Traditional Chinese Medicine Li Chenwen /