Are there other treatments for acute myocardial infarction other than stenting? Myocardial infarction occurs when the main pathological basis is the rupture of atherosclerotic plaques in the coronary arteries, which causes acute thrombosis, complete obstruction of the blood vessels, no blood supply to the myocardium, and necrosis of the myocardium. In the past, stents did not exist and were uncommon. Thrombolytic therapy is an important treatment to dissolve thrombus and restore blood flow through infusion of substances. At present, due to the unbalanced medical development in China, stenting technology is not available in some remote areas, so thrombolysis is a good way to save at least some of the patients' lives first. In addition, some patients' families are very poor and stenting is relatively expensive (fortunately, stents are now much less expensive), so we can also take the next best thing, thrombolysis.
Some patients with acute myocardial infarction undergo coronary angiography and are found to have very severe coronary artery disease with many lesions that are not suitable for stent placement. Another option is coronary artery bypass surgery, which takes blood vessels from other parts of the body, such as the internal mammary artery (behind the sternum) and the saphenous vein (in the calf), and connects them to the heart vessels to re-establish blood flow.
In fact, patients with either type of coronary artery disease need standardized medication. Essential medications such as Substance. In some patients, coronary angiography reveals thrombi in the coronary arteries that dissolve on their own, or thrombus aspiration removes them. If the fixed coronary artery stenosis is not particularly severe, stenting is not needed. There is even a small percentage of patients who develop coronary artery spasm and their blood vessels constrict, and then they take medications and find that their blood vessels dilate again, and they don't need a stent.
In short, stenting is an important treatment for acute myocardial infarction and restoration of blood flow, but it is not the only method. 1.4T power is still available, back home on those dirt roads did not feel enough power, usually in the city to run, the clinical situation is complex, and the specific situation of each patient is not the same. Individualized treatment strategies should be adopted.