HomePravacholWhat is the latest treatment for myocardial infaction ?
Posted in Pravachol on 5th March 2014

What is the latest treatment for myocardial infaction ?

Best answer(s):

Answer by Dr.in.da H
no news yet, other than thrombolytics & immediate coronary stenting on the spot for acute infarcts.
as for old infarcts, amiodaron MAY be benificial in prolnging life by suppressing any possble arrythmias.

Answer by Rebecca B
Thrombolytics are commonly used in hospitals but carry certain risks and sometimes bad side-effects. The way of modern thinking seems now to be angioplasty. This is where rather than “blasting” or “dissolving” the clot (or infarct) with the thrombolytic drug, they actually operate directly on the affected coronary artery. They expand the artery, clear the blockage manually . Thus, hopefully reducing the risk substantially of further infarct to that artery. Hope this helps.

Answer by 96dock
The current treatment for a myocardial infarction (heart attack) involves a number of modalities. First it is important to know what kind of myocardial infraction – there are basically two types, differentiated by whether the ST segments on an EKG are elevated. The two types of myocardial infarction are referred to ST elevation and non-ST elevation.

In both cases patients should receive an aspirin. Additionally they should be treated with a beta blocker (common names are metoprolol, atenolol, lopressor and tenormin). A blood thinner of some kind is should also be given in both cases. The most commonly used blood thinners are heparin or low molecular weight heparin (Lovenox).

The definitive treatment for a myocardial infraction is to open the coronary artery. In the case on an ST elevation MI the choices are angioplasty and stenting or clot bust drugs such as tPA. Multiple studies have shown that angioplasty/stenting are better than clot busting drugs.

In a patient does not have an ST elevation myocardial infarction, clot busting drugs shoul not be administered. These patients heart attacks are detected by abnormal lab tests. A strategy of angioplasty and stenting has been found to produce better outcomes than medical therapy alone.

After the artery is opened the patient will need other medications. Most notably is Plavix. This medicine is essential following a stent. Failure to take it increases the chnace of a blood clot forming in the stent.

Other medicines a pateint with a heart attack should take include a statin which is a type of cholesterol lowering medicine. Common statins available are Zocor, Lipitor, Crestor, Lescol and Pravachol.

Patients may also benefit from taking an ACE inhibitor (another type of medicine) following a heart attack.

In addition to these treatments patients need to make lifestyle changes – including quitting smoking, eating a low fat diet and increasing exercise. If they are diabetics, they need to control blood sugar carefully.

A referral to a cardiac rehab program is also very important. These programs will help patients make the lifestyle changes.

The following links can provide additional information:

http://www.acc.org/qualityandscience/clinical/guidelines/stemi/Guideline1/index.htm

http://www.acc.org/qualityandscience/clinical/guidelines/unstable/incorporated/index.htm

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