What causes reinfarction?
The most common cause of reinfarction after primary percutaneous coronary intervention is stent thrombosis, with the first 30 days being the greatest risk period. Reinfarction confers a ≈8-fold increased 3-year risk of cardiac mortality.
What is myocardial reinfarction?
Recurrent MI or reinfarction is defined as recurrence of clinical signs and symptoms of ischemia in patients with previously diagnosed MI, with accompanying electrocardiographic changes and raised serum biomarker levels consistent with myocardial necrosis [1].
What is a reinfarction?
Medical Definition of reinfarction : an infarction occurring subsequent to a previous infarction.
How do I stop reinfarction?
The clinical trials for prevention of reinfarction showed that the correction of risk factors and the use of anticoagulation and/or antiaggregation therapy, beta-blockers or Ca(++)-antagonist drugs, must be chosen in relation to the myocardial damage related to previous infarct.
What medication is given after an MI?
Clopidogrel and ticagrelor are recommended for conservative medical management of MI in combination with aspirin (162 to 325 mg per day) for up to 12 months. Early administration of beta blockers is recommended during hospitalization after an MI.
What medication is used for myocardial infarction that reduces reinfarction and mortality?
ACE inhibitors reduce mortality rates after myocardial infarction. Administer ACE inhibitors as soon as possible as long as the patient has no contraindications and remains in stable condition. ACE inhibitors have the greatest benefit in patients with ventricular dysfunction.
What is the relative risk of myocardial infarction?
In patients with manifestations of coronary disease, the relative risk of myocardial infarction is five to seven times higher than in persons without overt coronary disease. 13 14 15 However, the decision to carry out measures to prevent a disease is influenced more by the absolute risk of contracting that disease than by the relative risk.
When is the absolute risk of serum cholesterol high?
Even when the relative risk is moderate, the absolute risk attributable to serum cholesterol remains high.
What should my cholesterol level be if I have heart disease?
Less than 200 (but the lower the better) Ideal is 60 or higher; 40 or higher for men and 50 or higher for women is acceptable. Less than 100; below 70 if coronary artery disease is present. Less
Which is the best treatment for myocardial infarction?
Currently, many patients with myocardial infarction are treated with beta-blocking agents or aspirin, and their rates of reinfarction are likely to be lower than those described above.