[Treatment of asymptomatic patients who have survived extensive myocardial infarction].
Most patients that survive an acute myocardial infarction remain symptomatic, mainly with manifestations of heart failure, arrhythmias, or residual ischemia; however there is a group of patients without symptoms that must be studied because their evolution could be life threatening, specially if they have left ventricular dysfunction, arrhythmias, severe coronary artery disease, comorbid diseases, are older patients or have history of previous myocardial infarctions. An exercise treadmill test must be done as well as Holter monitoring, radionuclide perfusion imaging echocardiography with or without drugs, nuclear magnetic resonance and cardiac catheterization with coronary angiography to determine pharmacologic treatment and prompt revascularization.
Lacy Niebla
María del Carmen
Mdel C
Instituto Nacional de Cardiología Ignacio Chávez, INCICH, Juan Badiano No. 1, Col. Sección XVI, Tlalpan, 14080 México, D. F.
D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy*; D012720:Severity of Illness Index; D017741:Survivors