Principles of Rescue for Myocardial Infarction

Written by Tang Li
Cardiology
Updated on March 13, 2025
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For patients with myocardial infarction, we emphasize early detection and hospital admission, as well as strengthening on-site management before hospitalization. The treatment principle is to restore myocardial blood perfusion as soon as possible. Within 30 minutes of arriving at the hospital, thrombolysis or interventional treatment should begin to save the dying myocardium, prevent the expansion of infarction area, or reduce the range of myocardial ischemia, protect and maintain heart function, promptly deal with severe arrhythmias, heart failure, and various complications, prevent sudden death, so that patients can not only survive the acute phase but also maintain as many functional myocardial cells as possible after recovery.

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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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What is good to eat for myocardial infarction?

After suffering from myocardial infarction, it is necessary to use effective drug treatments under the guidance of a doctor, and at the same time, dietary structure should be appropriately adjusted. Consume easily digestible foods and avoid spicy and greasy foods. You can eat some foods containing high-quality protein, high vitamins, and high trace elements, such as milk, eggs, lean meat of animals, and sea cucumber. These foods contain high-quality protein, which can enhance immunity and promote the repair of myocardial tissue. Consume more vegetables containing crude fiber, such as celery, spinach, and winter melon. These vegetables can not only supplement trace elements and vitamins but also help in easing bowel movements, relieving constipation, and reducing the burden on the heart. Focus on consuming green leafy vegetables. For fruits, choose kiwi, grapefruit, and oranges which are rich in vitamin C and potassium. Avoid smoking and drinking alcohol, and avoid strong tea, coffee, and foods that are too cold, too hot, spicy, or stimulating.

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What can you eat after a myocardial infarction?

Patients with myocardial infarction should have a diet that is easy to digest, high in nutrition, high in quality protein, high in trace elements, and high in vitamins. They should eat lean meat, shrimp, fish, and sea cucumber, which contain high amounts of vitamins, trace elements, and quality protein. These can enhance the body's immunity and promote the repair of damaged heart muscle. Eat more fruits and vegetables that are high in vitamins, trace elements, and dietary fiber. These fruits and vegetables can effectively remove free radicals in the body, act as antioxidants, and also facilitate bowel movements.

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Can myocardial infarction recover by itself?

A very small number of myocardial infarction patients may recover on their own without realizing they have had a myocardial infarction. This usually happens when the affected area is relatively small. Some patients do not experience significant symptoms like chest pain or tightness, often overlooking these symptoms and not seeking medical attention. Later, during routine physical examinations and electrocardiograms, changes indicative of an old myocardial infarction may be discovered. This scenario occurs particularly in patients with diabetes. On the other hand, in cases of extensive myocardial infarction, spontaneous recovery is not possible. Without active treatment, the mortality rate remains high. Therefore, patients experiencing persistent severe chest pain are advised to seek medical help promptly. Early treatment not only increases the benefit to the patient but also reduces the complications associated with myocardial infarction.

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Is vomiting severe in myocardial infarction?

Patients with myocardial infarction often have a history of hypertension, coronary heart disease, and diabetes. They usually experience repeated episodes of angina. After angina, the chest pain persists and cannot be alleviated, often including feelings of chest oppression and pressure. Some patients may also experience nausea, vomiting, and fainting, but most do not have severe vomiting. Some patients, because of inferior wall myocardial infarction or posterior wall myocardial infarction, may develop right ventricular dysfunction, or during the treatment process, due to decreased appetite, may suffer from severe vomiting caused by low potassium and low sodium levels. However, this can generally be corrected through treatment.