What symptom does cavity stem restore period
summary
It seems that myocardial infarction is not a particularly strange disease. Myocardial infarction is caused by lipid deposition and plaque formation in the coronary artery, which nourishes the myocardium, and then leads to vascular stenosis or even occlusion, leading to corresponding myocardial ischemia and hypoxia, or even infarction. Convalescence of myocardial infarction does not mean that coronary heart disease has been cured, because the myocardial infarction site through fibrosis healing, has lost the normal myocardial elasticity and contractility, resulting in the heart can not be synchronized contraction, so prone to heart failure; secondly, although the infarcted myocardium fiber repair, but the cause of coronary heart disease, coronary atherosclerosis still exists, so it may occur again Myocardial ischemia or myocardial infarction. So the recovery period can not be careless, need to return to the hospital regularly review.
What symptom does cavity stem restore period
First: most patients with coronary heart disease have hypertension, hyperglycemia or hyperlipidemia, which are the predisposing factors of coronary heart disease. Therefore, blood pressure and blood glucose should be monitored regularly during the recovery period, and blood lipid should be rechecked every month. The blood pressure should be controlled at 130 / 80mmHg, and ACEI, ARB or B receptor blockers are preferred, such as captopril, valsartan and Betaloc; blood glucose should be strictly controlled at 6-7mmol / L fasting and 7-9mmol / L postprandial, so as to minimize the occurrence of new thrombosis and plaque caused by vascular endothelial re injury caused by hyperglycemia; triglyceride, cholesterol and low density lipoprotein in blood lipid The high risk factors of cardiovascular disease should be strictly controlled at normal level. It is emphasized that statins should be used routinely to control blood lipids, and low density lipoprotein should be reduced to 1.7 mmol / L to avoid lipid deposition in blood vessels to block the lumen.
Second: if there is chest tightness, chest pain and shortness of breath again in the convalescent period of myocardial infarction, we need to be alert whether there is myocardial infarction or heart failure again. We need to return to the hospital immediately to review ECG, troponin and cardiac color Doppler ultrasound exclusion. If ECG and troponin prompt myocardial reinfarction, we need to improve coronary angiography. If there is no obvious discomfort during the recovery period, we need to return to the hospital every month to review ECG and cardiac color Doppler ultrasound, and exclude new myocardial ischemia, heart failure and myocardial regional ventricular aneurysm.
Third: Patients with myocardial infarction need to take clopidogrel and aspirin for a long time to prevent coronary artery thrombosis again. The above two drugs will affect platelet aggregation, so we should pay close attention to whether there is a tendency of skin and mucosal bleeding in our daily life, and we need to review the blood routine every month. Aspirin can lead to gastric mucosal damage or even occur Gastric ulcer, so patients with stomach discomfort or even upper gastrointestinal bleeding, need to return to the hospital immediately to review gastroscopy.
matters needing attention
Myocardial infarction convalescent patients should have reasonable living habits and work and rest time, quit smoking and alcohol, at the same time, to develop a reasonable exercise plan, exercise load is too large, easy to induce new infarction, too small and can not achieve the purpose of exercise, such as walking, Taiji, qigong, cycling and other projects are more suitable; to reasonable diet, keep defecation unobstructed; finally, to keep healthy Stable mood and optimistic mood, in order to facilitate the recovery of the disease.
