The difference between acute myocardial infarction and myocardial infarction.

Written by Wei Zhen Xia
Geriatrics
Updated on September 29, 2024
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Acute myocardial infarction, characterized by sudden onset, involves persistent angina, profuse sweating, a sense of impending doom, difficulty breathing, and chest tightness. Myocardial infarction, also known as heart attack, refers actually to the same condition and there is no difference between them. Once a myocardial infarction occurs, the patient should immediately go to the hospital for medical attention. Diagnostic tests such as an electrocardiogram, cardiac ultrasound, coronary CT, and coronary angiography should be conducted. These tests help determine the extent, severity, and location of the infarction, understand the degree of narrowing of the vessel, and develop a treatment plan to save the patient's life.

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Written by Fan Yan Fu
Cardiology
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Can myocardial infarction recover?

After a myocardial infarction occurs, the myocardium cannot return to its original state. Thus, the heart itself also constrains the overall state of the body, and the whole body can no longer return to its original state. Myocardial infarction means the necrosis of myocardial cells. The heart itself loses some of its myocardial function, and after losing part of the myocardium, myocardial remodeling occurs. These changes act as compensation, and through aggressive treatment, the function of the remaining myocardium can be preserved to the greatest extent. If a myocardial infarction occurs, immediate interventional treatment or thrombolytic therapy can prevent myocardial cell necrosis, or even make it minimal. In this case, the heart as a whole is nearly normal, and its function is unaffected. The larger the area of myocardial necrosis, the less remaining function the heart has. If the area affected by the myocardial infarction is relatively small, and with aggressive, long-term treatment, the function of the heart can be preserved to the greatest extent. Thus, the prognosis is generally better. The larger the area of myocardial infarction, the worse the prognosis.

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Written by Zeng Wei Jie
Cardiology
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How to treat atrial myocardial infarction?

Atrial myocardial infarction is also a type of myocardial infarction. Isolated atrial myocardial infarction is relatively rare and often coexists with ventricular infarction. Therefore, the treatment principles for myocardial infarction are essentially the same, focusing on promptly improving myocardial ischemia, myocardial necrosis, and the long-term prognosis of the patient. The treatment mainly includes: first, reperfusion therapy, which involves thrombolysis for ST-segment elevation cases, stent placement for most patients, and bypass surgery for a small number of patients. The second aspect is secondary prevention and treatment, including antiplatelet therapy, blood pressure control, blood sugar management, diet, exercise, and other comprehensive treatments. The peculiarity of atrial myocardial infarction is that some patients may experience atrial fibrillation, thus some of these patients may require treatment to control ventricular rate.

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Written by Zhang Yue Mei
Cardiology
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Can someone with myocardial infarction eat watermelon?

Patients with myocardial infarction can eat watermelon. Watermelon is a fruit, which contains a wealth of nutrients, including plant proteins, as well as notable amounts of glucose, sucrose, vitamins, dietary fiber, and minerals, essential for replenishing the human body's nutritional needs and hydration. Patients with myocardial infarction, if they do not have diabetes, may eat watermelon in moderation. However, they should not consume too much to avoid causing gastrointestinal discomfort and consequent distress. In daily life, patients should maintain a light diet and avoid fatty and spicy foods.

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Written by Li Hai Wen
Cardiology
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Symptoms of myocardial infarction

Myocardial infarction is a relatively common disease in daily life, and it also poses a serious threat to people's health and safety. The symptoms of a myocardial infarction mainly include the following aspects: First, severe chest pain, which is often the most common symptom of myocardial infarction, typically feels like a crushing sensation or is accompanied by a feeling of impending doom. Second, symptoms of heart failure, which, when myocardial infarction is complicated by heart failure, often manifest as difficulty breathing and profuse sweating. Third, symptoms of arrhythmia, which, when myocardial infarction is complicated by arrhythmia, often presents with symptoms like palpitations and dizziness.

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Written by Tang Li
Cardiology
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Heart attack tests

Patients with myocardial infarction require the following comprehensive assessments: 1. Electrocardiogram (ECG). An ECG is an essential test that can reveal specific changes associated with myocardial infarction. 2. Cardiac echocardiography. This imaging test can reflect the activity of the ventricular walls and cardiac function. 3. Laboratory tests, such as complete blood count (CBC). A CBC can show increases in total white blood cell count and C-reactive protein, along with tests for cardiac biomarkers. These cardiac biomarkers help to determine the extent of myocardial infarction. 4. Coronary angiography. Coronary angiography is the gold standard for diagnosing coronary heart disease. Patients with myocardial infarction need an urgent evaluation to determine the degree of narrowing in the coronary arteries, and if necessary, stent placement treatment should be considered.