Havranek E P
University of Colorado Health Sciences Center, Denver.
Am Fam Physician. 1994 Apr;49(5):1109-19, 1123-4.
Long-term management of patients following myocardial infarction requires assessment of both residual ischemia and left ventricular function, since these are the primary factors in determining the patient's prognosis. Most patients with uncomplicated hospital courses should undergo exercise testing and assessment of the ejection fraction. Aspirin and beta-adrenergic receptor blocking agents should be prescribed to most patients, and angiotensin converting enzyme inhibitors and cholesterol-lowering drugs should be administered when indicated. Psychologic issues unique to myocardial infarction must be addressed, and an appropriate exercise program should be prescribed. The goal is to help patients achieve the functional status they had before the infarction.
心肌梗死后患者的长期管理需要评估残余缺血情况和左心室功能，因为这些是决定患者预后的主要因素。大多数住院过程无并发症的患者应接受运动试验和射血分数评估。大多数患者应服用阿司匹林和β-肾上腺素能受体阻滞剂，如有指征应给予血管紧张素转换酶抑制剂和降胆固醇药物。必须解决心肌梗死特有的心理问题，并应制定适当的运动计划。目标是帮助患者恢复到梗死前的功能状态。
