[IMPROVING THE EFFICACY OF THERAPY FOR PATIENTS WITH MYOCARDIAL INFARCTION COMPLICATED BY CIRCULATORY FAILURE]
Insights
Remaxol improves treatment for myocardial infarction patients with acute cardiac insufficiency. This drug speeds up hemodynamic stabilization, enhances heart function, and reduces arrhythmia and hyperhomocysteinemia risks.
Area of Science:
- Cardiology
- Pharmacology
- Internal Medicine
Context:
- Myocardial infarction (MI) with acute cardiac insufficiency presents significant treatment challenges.
- Conventional thrombolytic therapy may not fully address hemodynamic instability and myocardial dysfunction.
- Hyperhomocysteinemia is a risk factor for thrombotic complications in acute myocardial infarction.
Purpose:
- To evaluate the effectiveness of adding remaxol to conventional treatment for acute myocardial infarction (MI) patients.
- To assess remaxol's impact on systemic hemodynamics, myocardial contractility, and cardiac arrhythmias.
- To determine remaxol's role in managing hyperhomocysteinemia and reducing thrombotic risks in MI patients.
Summary:
- A study involving 126 acute myocardial infarction patients with acute cardiac insufficiency compared conventional therapy to therapy including remaxol.
- The remaxol group received daily intravenous remaxol post-thrombolytic therapy for 3-5 days, with monitored vital signs.
- Remaxol administration resulted in faster hemodynamic stabilization, improved myocardial contractility, reduced arrhythmias, and lowered hyperhomocysteinemia.
Impact:
- Remaxol inclusion significantly enhances treatment outcomes for myocardial infarction patients with acute cardiac insufficiency.
- This therapeutic approach accelerates recovery, mitigates cardiac arrhythmias, and lowers the risk of thrombosis and thromboembolism.
- Remaxol offers a promising adjunct therapy for improving cardiovascular health and reducing complications post-MI.
Abstract:
The effectiveness of drug remaxol inclusion in the scheme of treatment of patients with myocardial infarction on the background of degree III - III acute cardiac insufficiency was evaluated by the analysis of clinical and laboratory data of 126 patients with newly diagnosed acute myocardial infarction including ST-segment elevation on the background of acute cardiac insufficiency. Depending on the regimen, patients were divided into two groups. The first (control) group included 60 patients who received conventional thrombolytic therapy; the second (main) group included 66 patients which, after thrombolytic therapy, received remaxol (single daily intravenous administration, 400 mL at 3 - 4 mL/min rate) with controlled central venous pressure, arterial pressure, and diuresis. The course lasted for 3 - 5 days, depending on the severity of condition. A high efficiency of the treatment regimen including remaxol was established as characterized by more rapid (in comparison to conventional therapy) stabilization of disturbed systemic hemodynamics and recovery of weakened myocardial contractility, decreased risk of cardiac arrhythmias, and relieved hyperhomocysteinemia that, in turn, reduced the risk of complications such as thrombosis and thromboembolism.
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