This is an automatically translated article.
Acute myocardial infarction requires prompt treatment, the main principle is to reestablish blood flow in the blocked coronary artery as soon as possible, because coronary flow will only be restored after removal. get a blood clot. However, the speed of recovery of people with acute myocardial infarction depends on care before and after coronary intervention.
1. How to take care of patients before coronary intervention in acute myocardial infarction?
The care of patients before coronary intervention when acute myocardial infarction is very important in saving the patient's life. The process of caring for people with acute myocardial infarction before coronary intervention should be carried out as follows:
For medical staff: Before coronary intervention, it is necessary to prepare medical records, muscle tests. Copy and clean the patient's puncture site by locating the puncture site. On the side of the patient and the patient's family: Relatives need to exercise and prepare a good mind for the patient before conducting coronary intervention therapy.
2. How to take care of patients after coronary intervention in acute myocardial infarction?
Similar to patient care before coronary intervention, patient care after coronary intervention is also very important in the rehabilitation process for patients. The process of caring for people with acute myocardial infarction after coronary intervention is as follows:
On the side of the medical team: When taking care of patients with myocardial infarction, doctors need to specify information about the results of the treatment. treatment as well as other dangerous complications may be encountered after coronary intervention. Medical staff need to take care of the incision according to the correct procedure and closely monitor the patient for consciousness, vital signs, and biochemical blood tests. If complications are suspected, the patient should be assigned an echocardiogram, a chest CT scan. On the side of the patient and family: For relatives when taking care of a heart attack patient, it is necessary to assist in washing the wound at least once a day with saline or antiseptic solution for the patient; keep the wound dry; especially do not apply any drugs or solutions to the wound; should wear loose clothes for better blood circulation; say no to smoking or passive smoking. In particular, after coronary intervention, patients should rest completely for 1 week, then begin to exercise moderately.
Việc chăm sóc bệnh nhân trước can thiệp mạch vành khi nhồi máu cơ tim cấp rất quan trọng
3. Things to note
3.1. Exercise after coronary intervention
Usually, after coronary intervention, only a short time the patient can go home. Depending on the location of coronary intervention, it is important to note in the operation at that location as follows:
Coronary intervention through the femoral artery:
When performing coronary intervention through the femoral artery, the patient needs to be very careful. important in movement, to ensure that the wound is not affected. Avoid lifting, pushing or pulling heavy objects for the first 5-7 days after the procedure. Do not engage in heavy activities for 5 days after surgery but can climb stairs as needed, but must walk more slowly than usual and avoid straining the thigh muscles during defecation for 3-4 days after vascular intervention rim. After 1 week of coronary intervention, patients should gradually increase their activity level until they can function normally. Coronary intervention through the radial artery:
When coronary intervention in the femoral artery is not possible, the doctor will perform coronary intervention in the radial artery of the arm. After the intervention, the patient did not use the injured wrist to lift objects over 1kg in the first day. 2 days after the procedure do not participate in any strenuous activities Slowly raise your activity level until you can return to normal activities after the day of the procedure Usually, the patient can return to work in 1-2 weeks after coronary intervention. If you are still tired and weak, you should rest more. Then gradually adapt to life.
SEE ALSO: Percutaneous coronary intervention: Things to know
3.2. Notes when taking medicine
After coronary intervention, the patient still needs to continue taking medication for prevention. Therefore, the patient should take the drug as prescribed by the doctor, not arbitrarily add or subtract without the doctor's prescription.
During the use of drug groups, it is necessary to pay attention to warning signs of side effects that the drug causes such as: bleeding under the skin, nosebleeds, muscle pain or dizziness, ... to notify the doctor.
In case the patient has diabetes as an underlying disease, it is necessary to discuss with the doctor to adjust the medication within 1-2 days of coronary intervention. Because after coronary intervention, the patient's blood sugar may change erratically.
Sau can thiệp mạch vành, người bệnh vẫn cần phải tiếp tục dùng thuốc để dự phòng
3.3. Notes on healthy diet and lifestyle
A healthy lifestyle is very important for cardiovascular disease in particular and human health in general. Therefore, after coronary intervention, patients need to follow a healthy diet and lifestyle as follows:
Patients should drink 2 liters of water per day and it is best to participate in a rehabilitation program heart. Quit smoking to limit the risk of other complications. It is necessary to exercise regularly, in accordance with health, should not do exercises that are excessive compared to their own health. Patients should eat more fruits, vegetables (to avoid constipation) and whole grains, but should limit the use of dark green vegetables (spinach, celery, asparagus, cucumber) because they contains a lot of vitamin K, from which the effects of anticoagulants being used to support disease treatment are reduced. Reduce the amount of salt and fat daily, should eat fish regularly, because fish contains a lot of omega 3 which is good for the heart and helps prevent the formation of blood clots. Eat at least 3 fish meals/week. Live, relax in moderation, avoid stress, anxiety or nervousness. Relax by doing things you enjoy but in moderation for your health. Don't eat dinner after 18:00 and don't eat too full because it compresses the diaphragm, the heart rate will increase more than usual. If there is an underlying disease that is accompanied by diabetes, the patient needs to follow the diabetic patient's diet to control blood sugar well. Limit the use of stimulants such as alcohol and beer. If you are a woman, you should not drink more than one drink, while a man should have no more than 2 drinks a day. Especially, after coronary intervention due to acute myocardial infarction, patients should have regular health check-ups on the advice of doctors to detect other risk factors early.
With many years of experience in the examination and treatment of cardiovascular diseases, now Vinmec International General Hospital has become one of the major Cardiology centers, possessing a team of qualified doctors and nurses. , is well-trained and has a system of modern facilities and medical equipment. As a result, the Cardiovascular Center at Vinmec International General Hospital is capable of examining, treating and monitoring after treatment, coronary intervention in the treatment of myocardial infarction.
Besides, to improve service quality, Vinmec also deploys periodic health checkup packages. The advantage of Vinmec's health check-up packages is that customers will be screened and screened by a system of modern equipment to help support the best diagnosis today such as PET/CT, MRI, CT 640 machines. , the world's leading advanced ultrasound machine system, international standard laboratory system,... After a general examination, if abnormalities are detected after intervention, treatment of cardiovascular disease as well as For other diseases, customers will be examined and advised on the most effective treatment method.
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