Recent Treatment Guidelines for Acute Myocardial Infarction by the American ACC/AHA February 14, 2001

Recent Treatment Guidelines for Acute Myocardial Infarction by the American ACC/AHA February 14, 2001

The AMI (acute myocardial infarction) protocol published in August 1999 is summarized below: ① Administer oxygen and maintain continuous ECG monitoring. ② Administer nitroglycerin orally or sublingually. ③ Use low-dose aspirin. ④ For cardiac arrest: Patients experiencing nausea and vomiting after morphine administration, or those with first- or second-degree atrioventricular block (AVB) and bradycardia, may receive atropine. ⑤ For severe pain, morphine or morphine-based preparations may be used. ⑥ Thrombolysis: For patients with ST-segment elevation, unless there is a bleeding tendency, advanced age and frailty, or ischemic pain has already subsided, heparin 2,000–4,000 units can be administered intravenously for thrombolytic therapy. ⑦ PTCA (percutaneous transluminal coronary angioplasty) and CABG (coronary artery bypass grafting) are both interventional procedures; the former is less invasive, while the latter is more invasive. From a Traditional Chinese Medicine perspective, these are symptomatic treatments—addressing the symptoms rather than the root cause. If the disease has already manifested, treat the symptoms; if not yet manifested, address the root cause.