How long can an elderly person live with a myocardial infarction and how to treat it?

How long an elderly person can live after a myocardial infarction ultimately depends on the individual's condition, clinical symptoms, and the extent of the disease. It is recommended to maintain a peaceful and optimistic attitude and actively carry out treatment.

Myocardial infarction, especially acute myocardial infarction, is a very serious cardiovascular disease. If the area of ​​myocardial infarction is small and the infarcted blood vessel is a relatively minor blood vessel, the relative risk will be smaller. If the infarcted blood vessel is very critical, the risk will be very high and life-threatening. It may cause sudden death and some subsequent complications. Therefore, the prognosis of different blocked blood vessels is different.

If these problems are discovered, it is recommended that you go to the hospital as soon as possible for relevant examinations and then symptomatic treatment. And it may cause arrhythmia, shock, heart failure, which is a serious type of coronary heart disease and can be life-threatening.

Methods of treating myocardial infarction in the elderly

If there are no conditions for emergency PCT treatment, or the first balloon dilation cannot be completed within 90 minutes, and if elderly patients with myocardial infarction have no contraindications to thrombolytic therapy, patients with acute ST-segment elevation myocardial infarction within 12 hours of onset should undergo thrombolytic therapy. Commonly used thrombolytic agents include urokinase, streptokinase, and recombinant tissue plasminogen activator (rt-PA), which are administered intravenously. The main complication of thrombolytic treatment is bleeding, the most serious of which is cerebral hemorrhage. After thrombolytic treatment, it is still advisable to transfer to a hospital with PCI conditions for further treatment. Patients with non-ST-segment elevation myocardial infarction should not receive thrombolytic therapy.

This method treats myocardial infarction in the elderly. It aims to use a special balloon catheter to expand the newly blocked blood vessels to recanalize them, so that the ischemic myocardium can be reperfused to save the dying myocardium. The blocked coronary artery recanalized, the chest pain disappeared, and the electrocardiogram improved rapidly. If patients with acute myocardial infarction have no contraindications to thrombolysis, thrombolysis should be the first choice. Patients with thrombolysis failure or high residual stenosis after thrombolysis who have indications for PTCA can undergo elective PTCA. For patients with contraindications to thrombolysis or severe left ventricular dysfunction, hypotension or shock, aorto-coronary bypass surgery can be performed with the support of intra-aortic balloon counterpulsation.