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Definition
The monitoring of a myocardial infarction (heart attack) is strict and first takes place twice-daily in intensive care unit: clinical exam, monitoring of the cardiac activity, pulmonary x-ray, electrocardiogram, blood test... The patient’s passive then active mobilization becomes possible from the 3rd day on, under the condition that a regularization of the heart rhythm and no complication are present. Beyond the first week of favourable evolution, an echocardiography, a stress test (electrocardiogram during effort), the measure of late potentials, a scintigraphy of the heart and a 24 hours Holter of the electrocardiogram are made in order to track down an asymptomatic complication that can be treated for itself. Obviously, the eviction of the cardiovascular risk factors, in particular tobacco, HBP and a high cholesterol rate, which could be hidden during the stay in resuscitation, is imperative. The prescription on discharge typically includes a beta-blocker drug, aspirin or an anticoagulant drug (vitamin K antagonist), and sometimes a drug belonging to the inhibitors class of the angiotensin conversion enzyme (ACE inhibitor) if the contraction heart function is decreased. File last modified on july 24, 2006 |
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in cardiology.