In the treatment of patients with myocardial infarction, it is important to have an active attitude. It has been shown that a sizeable proportion of patients (often set to approx. To 80%) could return to previous employment and activity, of course, depending on the infarct size. For large infarction may be the development of heart failure, which will then require special treatment. Otherwise, it is important to identify the individual patient's risk factors and get them treated if possible. The risk of new heart attacks may depend on the patient being aware of their risk factors and encouraged to reduce them, for example. Cigarette smoking, nutrition and low physical activity level. The individual patient is often tested with the workload (AKG) before leaving the hospital and possibly repeated after four to six weeks to determine the distinctive capacity for exercise, and to detect any remaining desire is called the coronary arteries. If such narrow states are detected, and / or the patient has angina pectoris after a heart attack, there may be talk of invasive treatment, i.e. PCI (blocking) or so-called bypass surgery.
For drugs, it is shown that so-called beta-blockers improve survival after myocardial infarction, as well as treatment with antithrombotic agents such as aspirin and warfarin and cholesterol-lowering medicine. Many patients will get all these things simultaneously. Treatment for heart failure or arrhythmias will be provided in addition to the needs of individual patients.
Infarction size can be determined accurately by echocardiography.
As stated, treatment must be individualized after a heart attack, but for specific guidelines based on the results of scientific experiments.
