Is myocardial infarction class II serious?

Written by Chen Guang Yin
Cardiology
Updated on March 06, 2025
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New York Heart Association (NYHA) Class II heart function is not severe. Myocardial infarction is a relatively serious type of coronary heart disease, which occurs due to the blockage of the coronary arteries leading to myocardial necrosis, and it carries certain risks. It can ultimately lead to complications such as sudden death and heart failure. At this stage, with Class II heart function, symptoms of heart failure can appear under conditions of significant exertion, including chest tightness, breathlessness, fatigue, and shortness of breath. These symptoms correspond to a relatively less severe stage of heart failure.

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How to self-rescue during a sudden myocardial infarction

If you suspect that you are suffering from acute myocardial infarction, it is necessary to take measures for self-treatment. If there is no one else around, then you should take the following measures for self-treatment. The first thing is to call 120 promptly so that professional emergency medical personnel can come to help. You can clearly tell the emergency personnel your home address, floor, and room number, and also keep your phone line clear to maintain contact. The second point is to take some medications such as aspirin or clopidogrel to inhibit platelets and manage lipid levels. The third aspect, if the chest pain is severe, is to take some fast-acting drugs that relieve myocardial ischemia, such as quick-acting heart-saving pills or musk heart-saving pills.

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Atypical symptoms of myocardial infarction

We say myocardial infarction is a serious heart disease. Common symptoms of myocardial infarction include chest pain. However, some patients with myocardial infarction do not present with chest pain but exhibit other atypical symptoms. For example, some patients present with severe chest tightness and shortness of breath, or acute left heart failure. Others may seek treatment for palpitations or slow heart rate and other arrhythmias. Some exhibit symptoms like toothache or upper abdominal pain, while others may experience dizziness. There are also patients who present with low blood pressure or even go into shock. Therefore, for these patients, it is crucial to perform timely tests like electrocardiograms and troponin levels, and have a specialist make a diagnosis to avoid delays in treatment.

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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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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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How is myocardial infarction treated?

Myocardial infarction is a common and frequently occurring severe emergency condition in clinical practice. If not effectively treated, myocardial infarction can lead to serious complications that jeopardize life, and thus it requires effective treatment. Currently, there are various clinical treatment methods for myocardial infarction, including medication, intravascular stent implantation, and coronary artery bypass surgery among others. Based on the patient's constitution and the characteristics of the blood vessels, an effective treatment method should be selected under the guidance of a doctor to save the patient's life and improve the quality of life post-treatment.