To the woman 51 year. 3 days was in kardioreanimatsii with the diagnosis an infarct mio...

[Andrey]

To the woman 51 year. 3 days was in kardioreanimatsii with the diagnosis a myocardial infarction of a back wall. Then have translated or transferred in the general or common chamber, have allowed to rise. In a day after that again kardioreanimatsija with relapse of an infarct. Prompt please what to do or make?

[Sergey]

Unfortunately, it is frequent enough situation - the standard complication of an infarct arising even despite of absolutely adequate treatment. What to do or make, depends on a status of the patient, and solve it the expert possessing the full information on the patient can only. If that, write more in detail shornik@ropnet. ru.

[Matskeplishvili S.T.]

When it has occured or happened (exact date)? Relapse of a myocardial infarction occurs or happens as consequence or investigation of a proceeding clottage of a coronary artery at not enough adequate therapy. Purpose or appointment of Aspirinum, Beta-blockers, Inhibitors APF, sedative preparations is absolutely necessary. At a proceeding painful syndrome or changes on an electrocardiogram performance of an emergency coronary angiography with the decision of a question about endovaskuljarnom treatment is necessary.

[Andrey]

Hello, the doctor. Many thanks that have responded. There was it 10.11.2001. Repeatedly 13.11.2001. Aspirinum to her have appointed or nominated, but, unfortunately, iz-for a chronic gastritis he is counter-indicative to her. Did or made a heparin, gave enap, Obsidanum, tsint. Now intravenously, on mine, Nitroglycerinum. Heart now does not hurt, but the head is turned. Yes, have still started to give any tablets, on which marks PRZ (whether prozak it?). Still time of many thanks for the answer.

[Matskeplishvili S.T.]

Aspirinum is necessary despite of a gastritis, it is better to combine it or him with reception Plaviksa of 75 mg 1 r/d. Also reception selective beta-blockers (Atenolol, Konkor, Lokren), Enapa or TSinta (it is one group) is necessary. Application of Sodium nitritums, especially intravenously, at absence of a painful syndrome or the expressed hypertensia, it is not obligatory. At smooth current disease performance of an exercise tolerance test for 7 10 day for revealing a residual ischemia of a myocardium with the decision of a question on necessity of a coronarography is recommended.

[Andrey]

Hello the doctor. Many thanks for advice or councils.
Let's hope, that all will manage. Still time of many thanks for participation.