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Severe central chest pain past 2 hours
fainting episode for 5 minutes,…
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Management
re-establish myocardial reperfusionbfr irreversible damage occur using:
- Mechanical PCI
- Pharmacological drugs (fibrinolytic therapy) :
Causes
1. Reduced coronary blood flow
90% : coronary atherosclerosis
10% : others2. Increased myocardial demand
- tachycardia
- cardiac hypertrophy
3. Hypoxia
- severe anaemia
- cyanotic congenital heart disease
Risk Factor
Fixed
- Increasing age
- Male sex
- Positive family history
- Genetic abnormalities
Potentially Changeable
- Dyslipidemia
- Cigarette smoking
- Hypertension
- Diabetes mellitus
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MANAGEMENT POST MI
- Stop smoking
- Lifestyle changes
- Exercise regularly
- Control CVD risk factors such as hypertension
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