Mar 11, 2018
"Pre-infarction state" , - we say. How much further deterioration is inevitable? And how to get away from a heart attack?
Under pre-infarction is understood the state of the patient in the period immediately preceding myocardial infarction, during which one or another harbingers of a developing infarction can be found. From the clinical point of view, the isolation of the pre-infarction state( prodromal period, pre-infarction angina, unstable angina, threatening myocardial infarction, etc.) is justified because with its timely recognition and appropriate treatment, in a number of cases it is possible to count on the prevention of myocardial infarction,, that not everyone recognizes as appropriate the isolation of this syndrome. About the symptoms of myocardial infarction, see here.
The morphological basis of the pre-infarction syndrome is an increase in the degree of occlusion of the coronary artery( for example, due to increasing thrombosis).
As a pre-infarction condition one can be regarded when:
1) there are attacks of angina pectoris, if they were not there before;
2) angina attacks become significantly more frequent if they have occurred before;
3) the nature of seizures changes:
Current data allow us to agree with the view that it is impossible to equate terms " pre-infarction state " and "unstable angina", since not in all cases that can be attributed to this syndrome,in the immediate future develops MI.The likelihood of a recurrence or spread of the process is very high if a patient with a large or small focal MI in the next few days is resumed or has attacks of rest angina.
In retrospective analysis, other less characteristic complaints may appear as symptoms of the pre-infarction state, for example, the appearance of unusual fatigue, weakness, decreased mood, pain of atypical localization, and so on.
However, these symptoms are so nonspecific that almost never, especially in people who have not previously suffered from angina and who have not undergone MI, cause little suspicion either in the patient or in the doctor to whom he refers. Moreover, often even complaints, which are later regarded as typical, escape the attention of the doctor. This, unfortunately, leads to the fact that only a small number of patients are hospitalized for pre-infarction. At the same time, 30 - 60% of those hospitalized for MI can find out that within 3 to 4 weeks they have experienced typical signs of aggravation of coronary insufficiency. According to IA Mazur, the corresponding symptoms occurred in 2/3 of the persons who had a sudden death.
The objective symptomatology of the pre-infarction state is poor and is limited only by electrocardiographic signs of aggravation of myocardial ischemia( ST-T segment depression, high acute or, conversely, smoothed and even inverted T-wave), and such changes are not found in all patients with pre-infarction syndrome. Some authors believe that the manifestation of the pre-infarction state can be a moderate increase in the enzymatic activity of the blood and even a slightly elevated leukocytosis, but it seems more correct to regard these findings as signs of myocardial necrosis. Strictly speaking, there is already a MI here;which, however, can sometimes be regarded as a prelude to the development of a more extensive defeat.
Thus, the diagnosis of the pre-infarction state is reduced primarily to a careful examination of the patient's complaints and their comparison with an anamnesis. More often with such patients it is necessary to collide or face the polyclinic doctor. This is exactly the case when one must firmly remember that the IM is "younger", that he increasingly "chooses" himself victims among the people of physical labor and that in some cases coronary insufficiency can manifest atypically. It should not be expected that such an aggravation of the disease should necessarily be accompanied by the dynamics of the ECG.From the competence of the doctor, his "coronary" waryness in many ways depends on the timely suspected coronary insufficiency and appropriate medical measures.
Myocardial infarction does not develop immediately. Initially, they let you know about yourself frequent short-term pains in the heart and behind the breastbone. This reduces the blood circulation of the heart. The acute period of the infarct begins with a pain attack. On the second and third day there is a fever, which can last up to 10 days. And only then will a slow( up to two months) process of recovery begin. Then - post-infarction period, when the patient is prescribed a strict regime and constant medical supervision.
Prophylaxis for those who are predisposed to myocardial infarction is a diet. In no case can you overeat. It is important to monitor body weight.
Traditional medicine advises with a heart attack a lot of money. So, help infusion lover. It is necessary to take 40 grams of dried roots lovage drug and boil in one liter of water 7-8 minutes. Then insist in a warm place for 20 minutes. Take four times a day, but only fresh. A rapid heartbeat, which is also a harbinger of myocardial infarction, is neutralized in the following way. Mix 2 parts of valerian root, 2 parts of the motherwort, 1 part of the fruit of anise. A tablespoon of the resulting mixture is poured into a glass of boiling water. and are insisted for half an hour. Take the medicine should be a third cup 2-3 times a day.
Against cardiac arrhythmia use the following remedy: two teaspoons of marigold flowers are brewed with 2 cups of boiling water, insisted for an hour and then filtered. Drink the infusion 4 times a day for half a cup.