Symptoms and warning signs of myocardial infarction

Written by Chen Tian Hua
Cardiology
Updated on November 13, 2024
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Patients with myocardial infarction often have some precursor symptoms before the onset of a heart attack, including chest tightness, palpitations, irritability, fatigue, and episodes of angina, among which the angina episodes are most characteristic. This angina can manifest as the first occurrence of angina, or as a worsening of previously experienced angina symptoms. It is characterized by more intense chest pain, longer duration, and often occurs without clear triggers. Nitroglycerin taken sublingually does not fully relieve it. These symptoms should be taken seriously, and it is important to promptly visit the cardiology department of a hospital. Through inpatient treatment, the condition can be stabilized, and many patients can avoid an acute myocardial infarction.

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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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The causes of nausea and vomiting in myocardial infarction

During the acute phase of a myocardial infarction, symptoms such as nausea and vomiting often occur, particularly with acute inferior wall myocardial infarction. In the later stages of acute myocardial infarction, including anterior and lateral wall infarctions, patients may experience poor diet, issues with medication, or poor food intake, leading to electrolyte disturbances, which can also result in symptoms of nausea and vomiting. Therefore, nausea and vomiting during myocardial infarction are manifestations of gastrointestinal distress indirectly stimulated by the condition. Additionally, patients with acute right ventricular infarction may experience worsening right heart function, gastrointestinal tract water retention, and edema, which can also lead to nausea, vomiting, and decreased appetite.

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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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Is myocardial infarction dangerous?

Myocardial infarction is a very dangerous heart disease. If it occurs and is not treated effectively, serious complications can arise, including cardiogenic shock, mental disorders, and heart failure, which can lead to death in severe cases. Therefore, effective medication must be used for emergency treatment when myocardial infarction occurs. In daily life, to prevent the occurrence of myocardial infarction, one should first control blood pressure, adopt a low-sugar diet, reduce arteriosclerosis, and minimize damage to the coronary arteries to effectively avoid the occurrence of myocardial infarction.