Not all heart attacks are the same

17/09/09

Appropriate assessment, diagnosis, and acute myocardial infarction can not only reduce mortality in hospital raised, but the decline in incidence rates.

The 12-lead ECG correctly identify the source of myocardial infarction could reduce complications, such as: arrhythmia, heart pump, the signal at low or high blood pressure, cardiogenic shock, congestive heart failure and pulmonary edema.

With appropriate immediate treatment and surgery, your patients can reduce morbidity from the long-suffering long-term complications, such as reduced ejection fraction.

In the treatment of patients with acute myocardial infarction on the final goal is to save the heart and then preserved cardiac function.

Each member of staff, the care of patients with acute myocardial infarction should be strongly encouraged to take class 12-lead electrocardiogram. This results in the field of nursing staff, staff of the Emergency Department, a core team of laboratory protease, and nurses in intensive care.

Introduction of acute myocardial infarction

Thus, the symptoms and signs of patients with severe myocardial infarction introduction?

Under normal circumstances, the patient will have severe chest pain in the long term, supporting more than 30 minutes, which may be due to compression, chest tightness, or description of grip, etc..

The position is usually sub-sternum, or back, sternum, radiation to the neck and chin. Shortness of breath, nausea and vomiting and usually occurs in a typical performance. The suffering of the patient is not sure of nitroglycerin.

Typical symptoms include: pain or discomfort or in part, or if your back, arms, abdomen or only the area of radiation areas. The patient may have nausea, vomiting, or tiredness. These vague symptoms more difficult the diagnosis of acute myocardial infarction, therefore, using 12 lead electrocardiogram should be all the symptoms are not typical of patients were introduced.

These patients are often anxious, and may have a “perish” feeling. This is an ominous sign and should be taken seriously.

Left ventricular anterior wall myocardial infarction or cerebral infarction involving the left anterior descending artery. The patient will be changes in ST lead V1 – V6, lead AVL.

Our goal is to optimize left ventricular filling pressure and cardiac output.

This gives: diuretics and vasodilators to reduce pre-load, after load, improvement and inotropic contraction.

This is evident from internal interests of the patient is often intra-aortic balloon pump (pump) in order to reduce the workload of the heart and coronary arteries increased diastolic filling.

Invasive hemodynamic monitoring should be initiated to measure an increase in left ventricular pressure, because the patient is very easy to pulmonary edema, congestive heart failure.

Right ventricular infarction involving 80% of the total population of the RCA and the left circumflex 20% of the population. Changes STMicroelectronics be seen as leading to the second, third, if the fistula is an injury RCA culprit, V4R or left circumflex coronary artery disease, whether the culprit.

Brady, arrhythmia is the most common complication, and temporary cross-stimulation vein may be required. Pills and liquid inotropic should manage.

Fluid pills increase the car the oil pressure, this patient is useful, but may not benefit patients with myocardial left ventricle. Nitrates should be avoided because they can have a profound hypotension.

Percutaneous transluminal coronary angioplasty reperfusion Resort in 90 minutes of onset of symptoms is the gold standard stent College of Cardiology was established by the United States. Also used in the field of thrombolytic therapy, cardiac catheterization lab is not available at this time.

As mentioned earlier, in myocardial reperfusion in acute myocardial infarction and cooperation to prevent further complications raised hospitalized objectives.

With the proper treatment of heart attack and the origin of a correct diagnosis, a number of co-operation complications and possible death can be avoided.

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Not all heart attacks are the same