What is the management of myocardial infarction?

What is the management of myocardial infarction?

Clopidogrel and ticagrelor are recommended for conservative medical management of MI in combination with aspirin (162 to 325 mg per day) for up to 12 months. Early administration of beta blockers is recommended during hospitalization after an MI.

What is the main goal of treatment in an acute myocardial infarction?

After the initial management and stabilization of the patient in the early and critical phase of acute myocardial infarction (MI), the goals of care for these patients is to restore normal activities, prevent long-term complications, as well as aggressively modify lifestyle and risk factors.

What treatment is indicated in the first 12 hours of myocardial infarction?

The relevant NICE Quality Standard for adults advises that patients with acute ST-segment-elevation myocardial infarction (STEMI) who present within 12 hours of onset of symptoms have primary percutaneous coronary intervention (PCI), as the preferred coronary reperfusion strategy, as soon as possible but within 120 …

How much aspirin should I take for MI?

The appropriate dose must be at least 160 mg/day. The lowest dose to prevent recurrent MI or death in patients with stable coronary artery disease (CAD) is 75 mg/day. In acute MI the lowest dose is 160 mg/day.

How much aspirin should I take for myocardial infarction?

Conclusion— These data suggest that an initial dose of 162 mg aspirin may be as effective as and perhaps safer than 325 mg for the acute treatment of ST-elevation myocardial infarction. Aspirin therapy is a cornerstone in the immediate treatment of ST-elevation myocardial infarction (STEMI).

How do you treat a myocardial infarction?

Treatment for a myocardial infarction also typically includes thrombolysis, the breaking up or dissolving of the blood clot. Health care providers often use medications known as clot busters to degrade fibrin , a protein that forms a microscopic mesh that traps blood cells and forms clots.

How does a doctor diagnose a myocardial infarction?

Myocardial infarction diagnosis. A diagnosis of myocardial infarction is created by integrating the history of the presenting illness and physical examination with electrocardiogram findings and cardiac markers (blood tests for heart muscle cell damage).

What is the prognosis for myocardial infarction?

Acute myocardial infarction (MI) is associated with a 30% mortality rate; about 50% of the deaths occur prior to arrival at the hospital. An additional 5-10% of survivors die within the first year after their myocardial infarction.

How long do myocardial infarctions are considered acute?

Under category I21 there is an includes note that states this category includes myocardial infarctions specified as acute or with a stated duration of 4 week (28 days) or less from onset to reinforce the guideline. EXAMPLE: A patient presents to the clinic for his post‐hospital check.

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