One of the most important aspects of care of the patient with MI is the assessment. Assess for pain not relieved by rest or medications. Monitor vital signs, especially the vital sign and pulse rate.
Most myocardial infarct are due to underlying coronary artery disease, the leading explanation for death in the United States. With arteria coronaria occlusion, the myocardium is bereft of oxygen. Prolonged deprivation of oxygen supply to the myocardium can cause myocardial cell death and necrosis.
A attack (myocardial infarction) happens when one or more areas of the heart muscle don't get enough oxygen. This happens when blood flow to the guts muscle is blocked.
Beta blockers, nitroglycerin and possibly ACE inhibitors work in this way. All patients with a suspected myocardial infarct should be given aspirin. it's a powerful antiplatelet drug, with a rapid effect, which reduces mortality by 20%. Aspirin, 150-300 mg, should be swallowed as early as possible.
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