Non-st segment elevation myocardial infarction, how to treat it

The treatment of non-ST-segment elevation myocardial infarction includes drug therapy, interventional therapy, monitoring and management of complications, lifestyle changes, etc., and specific treatment plans should be individualized according to the patient's situation. The treatment of non-ST-segment elevation myocardial infarction mainly includes the following aspects: 1. Drug therapy: antiplatelet therapy: Drugs such as aspirin and clopidogrel inhibit platelet aggregation and prevent thrombosis. Anticoagulant therapy: For high-risk patients, anticoagulants such as heparin or low-molecular weight heparin may be required. Statins: lower lipids and stabilize plaques. Angiotensin-converting enzyme inhibitors or angiotensin receptor antagonists: improve cardiac remodeling and reduce mortality. Nitrates: Relief of chest pain. 2. Interventional therapy: Percutaneous coronary intervention (PCI): Opening of stenosed coronary arteries by endovascular balloon dilation and stent placement. Coronary artery bypass grafting (CABG): For multi-vessel disease or complex disease, coronary artery bypass grafting may be required. 3. Monitoring and management of complications: Close monitoring of vital signs, ECG and myocardial enzymes, timely detection and treatment of arrhythmia, heart failure and other complications. For high-risk patients, cardiac electrophysiological examination and radiofrequency ablation may be required. 4. Lifestyle changes: smoking cessation and alcohol restriction. Weight control, appropriate exercise. Low salt, low fat diet. Control blood pressure, blood sugar and other risk factors. The treatment plan should be individualized according to the specific conditions of the patient, including the characteristics of the disease, the severity of symptoms, and other factors. During the treatment process, patients should closely cooperate with the doctor's treatment, take medicines on time, regularly review, and follow the doctor's advice for lifestyle changes. If symptoms such as chest pain worsen, dyspnea, etc., they should seek medical attention promptly. It is important to note that the treatment of non-ST-elevation myocardial infarction requires evaluation and decision making by a specialist cardiologist. For high-risk patients, close monitoring and treatment may be required in a cardiology intensive care unit. In addition, treatment may need to be adjusted to specific conditions for patients with special conditions, such as pregnant women, elderly people, and patients with renal insufficiency.