Diagnosis and treatment of post-infarction angina pectoris.docVIP

 PAGE \* MERGEFORMAT 13 Diagnosis and treatment of post-infarction angina pectoris [Abstract] post-infarction angina is an acute myocardial infarction occurred at 24h ~ 8 weeks, the re-emergence of angina pectoris. Tip coronary heart disease is more serious or more coronary lesions. In addition to post-infarction angina with coronary occlusion, there are corresponding parts of the ischemic coronary artery disease. Post-infarction angina is a re-infarction risk factors. [Keywords:] post-infarction angina; diagnosis; treatment Acute myocardial infarction (AMI) after onset, most patients with chest pain stops within 24h. If the onset of 24h or 50 days after the onset of angina, called infarction angina (PIA). Of its high incidence of acute myocardial infarction in general accounted for 20% ~ 60%, of which, non-Q wave in patients with more than 80%. PIA is often extended or re-infarction infarction occurring precursor. And should therefore pay great attention to and give a positive proper treatment. 1 Pathogenesis PIA mostly in the resting state, which occurred at this time no significant changes in heart rate and blood pressure, so the attack should not be used often to explain the myocardial oxygen consumption may be related to insufficient blood supply to the heart. Its insufficient blood supply may be caused by several factors. 1.1 Clinical studies suggest that coronary artery spasm, AMI within 8 weeks prone to coronary spasm, such spasms can occur in the infarct-related or unrelated to coronary artery, causing further ischemia and myocardial infarct area and non-infarct ischemia. Some PIA prior to the onset AMI patients have the history of variant angina pectoris, acute myocardial infarction after coronary artery disease, as there is no obvious obstructive changes in the use of one-N-hua Zhuo be able to effectively control the PIA after the onset of the performance of the above can be shown that coronary artery spasm is an important factor in i