Can myocardial infarction be cured?
Whether myocardial infarction can be cured or not depends on many factors, such as age, size of myocardial infarction, whether to go to the hospital in time, whether to dissolve thrombolysis or do a stent, and whether to change lifestyle afterwards.
"Cure" here means that there is no obvious symptoms of discomfort and no recurrence.
Myocardial infarction is divided into acute phase and chronic phase, and the treatment methods of the two are different. In the acute stage of myocardial infarction, the first treatment is to open the blocked blood vessel. The method used is interventional therapy, opening the blood vessel by mechanical means, or using drugs to dissolve the thrombus. Stents are currently the most effective method for the treatment of acute myocardial infarction. For the fatal disease of myocardial infarction, opening blood vessels as soon as possible and restoring blood flow can not only save lives, but also save the myocardium that is about to die. It is the most advanced method in the world. However, this method requires relatively high conditions. First, the hospital must have equipment, and secondly, someone must be able to do it, and it must be on duty around the clock in order to do it.
In the acute phase of myocardial infarction, the earlier the blood vessel can be opened and the less necrotic myocardium, the less the effect on the heart function and the greater the possibility of "cure".
The treatment of chronic phase is mainly aimed at the following problems: First, all people with myocardial infarction, regardless of their blood lipids, need to take statins, because myocardial infarction occurs on the basis of atherosclerosis. In order to avoid recurrence, You have to take statins. Second, in order to prevent further thrombosis, you need to take two anti-thrombotic drugs, that is, aspirin and clopidogrel for one year. Generally, you need to take one year without a stent. Third, in order to avoid heart failure, it is necessary to take drugs to prevent heart failure, mainly angiotensin converting enzyme inhibitors, and drugs to rest the heart. In short, the acute phase should focus on opening blood vessels quickly, and the chronic phase should prevent recurrent myocardial infarction. Atherosclerosis is a systemic disease. There is a problem in one place, but atherosclerosis is also present in other places. If it is not prevented, it will still develop.
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