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Myocardial infarction and ED

What is myocardial infarction?Myocardial infarction is one of the three leading causes of death along with malignant tumors (cancer) and stroke. The number of acute myocardial infarctions in Japan is 150,000, of which about 30% die. A stroke of a myocardial infarction occurs when a blood vessel called the coronary artery that runs around the heart becomes blocked. When a tumor called plaque (porridge) forms in the coronary arteries, it may rupture for some reason. This is because platelets collect to close the ruptured area, resulting in blood clots and clogged blood vessels.The condition in which the coronary arteries are not completely occluded is called angina, and the condition in which the coronary arteries are completely occluded and blocked is called a myocardial infarction. If left untreated with myocardial infarction, blood will not be supplied and oxygen will be insufficient, resulting in necrosis of cardiomyocytes. Once myocytes are necrotic, they will never regenerate. Therefore, over time, the symptoms worsen and become fatal.Symptoms of myocardial infarctionSymptoms of myocardial infarction include intense chest pain that can be fearful of death. Other than that, there may be mild symptoms such as “tightening”, “pressing down”, and “chest pain”.One thing to keep in mind is that the intensity of pain is not proportional to the severity of myocardial infarction. Even mild symptoms that make you feel uncomfortable can be severe and require urgent attention. In the case of angina, the symptoms will subside as long as you rest for a while. On the other hand, in the case of myocardial infarction, the pain does not disappear even after 30 minutes or more. Not only is it painful, but it can also cause difficulty breathing, pallor of the face, and nausea.In addition, myocardial infarction is prone to fatal complications such as ventricular fibrillation, and it is necessary to go to the hospital by ambulance as soon as possible. When ventricular fibrillation occurs, the heart becomes cramped and unable to pump blood.Treatment of myocardial infarctionSince myocardial infarction is a life-threatening illness, it is necessary to call an ambulance and start treatment as soon as possible. Since the coronary artery is occluded by a blood clot, it is important to open the coronary artery quickly and allow blood flow to the myocardial cells.Reperfusion therapyThrombolytic therapyThere are two methods, one is to administer a drug that dissolves a thrombus (urokinase, t-PA, etc.) into a light vein, and the other is to administer the drug directly into the coronary artery using a device called a catheter.Catheter therapyA catheter is a thin tubular device that is inserted into an artery inside the thigh to reach the part blocked by a blood clot near the heart. After the catheter has passed through the obstruction site, the balloon at the tip is inflated to widen the blood vessel and secure blood flow. This resumes blood flow, but it is relatively likely that the blood vessels will narrow again, so the method that has become popular in recent years is to insert a mesh-like device called a stent. .. A stent is a metal stitched tube that helps prevent blood vessels from becoming blocked again. Recently, the type in which the drug dissolves from the stent has also come to be used.Drug treatment (acute phase)The use of nitrates (nitroglycerin) to dilate the coronary arteries and increase blood flow, or painkillers (such as morphine) if the chest pain is severe, is selected.Coronary artery bypass grafting (CABG)This method involves surgery to create a bypass vessel that bypasses a blocked area of ​​the coronary artery. It may be used when the aforementioned catheter therapy is not suitable, but with the advancement of catheter therapy, this treatment method is not used as much as it used to be.Cardiac RehabilitationWhen symptoms stabilize after treatment, perform cardiac rehabilitation. Start with a very light exercise, such as sitting on the bed, and gradually increase the amount of exercise. It promotes recovery by putting a moderate burden on the heart. In order to prevent the recurrence of myocardial infarction, it is important to receive dietary guidance, lifestyle guidance, medication guidance, and proper rehabilitation.Recurrence prevention methodTo prevent myocardial infarction from recurring, it is first necessary to remove the factors that cause the onset. Treatment of hypertension, improvement of hyperlipidemia, control of diabetes, improvement of hyperuricemia, etc. Next, you need to reduce stress, and obesity and quit smoking. These lifestyle-related diseases are closely related to myocardial infarction. Under the guidance of a doctor, improving lifestyle-related diseases, eating an appropriate diet, and exercising moderately are the best preventive measures.Myocardial infarction and ED treatmentEven if you have a history of myocardial infarction, you can take ED treatments such as Viagra if you meet all of the following items or if you have come to meet all of the following items due to the progress of treatment. Check with your doctor or ED treatment specialist.Those who have not been prescribed nitroglycerin preparationsThose who have had a myocardial infarction for more than 6 months (Viagra tablets / Levitra tablets)Those who have had a myocardial infarction for more than 3 months (Cialis tablets)Those who have been instructed by the attending physician that there is no problem with sexual activity* The above is a general example. Depending on the condition, you may not be able to take Viagra, etc., so please check with your doctor or our doctor who is treating myocardial infarction.If you cannot get a prescription for an ED treatment, there is also a method called ICI therapy, in which you inject directly into the penis.Ressource: https://healthlinerx.org/tadalafil/

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Curated by
joeking

Created February 05, 2021

Updated October 14, 2022

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