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Message: <blockquote data-quote="Sri_Sampath" data-source="post: 17084761" data-attributes="member: 264139">මම නම් මේක අනුමත කරන්නේ නෑ. සිංහල බේත් කරන්න ඕනි නම් කරන්න , හැබැයි ඔය දීපු බේත් නවත්තන්න එපා. All patients should be placed on the following medications:Aspirin<img src="/styles/default/xenforo/smilies/default/yes.gif"  class="smilie" loading="lazy" alt=":yes:" title="Yes    :yes:" data-shortname=":yes:" /><img src="/styles/default/xenforo/smilies/default/yes.gif"  class="smilie" loading="lazy" alt=":yes:" title="Yes    :yes:" data-shortname=":yes:" />This is an anti-platelet drug. If the patient is hypersensitive, then consider clopidogrel. Some patients may be put on aspirin and clopidogrel in the acute phase after an MI; but they should not be on this combination for more than 12 months.In patients with dyspepsia, you should also consider giving a PPI with aspirin to reduce the risk of ulceration.β – blocker<img src="/styles/default/xenforo/smilies/default/yes.gif"  class="smilie" loading="lazy" alt=":yes:" title="Yes    :yes:" data-shortname=":yes:" /><img src="/styles/default/xenforo/smilies/default/yes.gif"  class="smilie" loading="lazy" alt=":yes:" title="Yes    :yes:" data-shortname=":yes:" />this has antihypertensive effects, by encouraging peripheral vasodilation, and it also reduces cardiac output, by reducing the rate and contractility of the heart. It also reduces renin secretion.ACE inhibitor (or alternative anti-aldosterone drug)<img src="/styles/default/xenforo/smilies/default/yes.gif"  class="smilie" loading="lazy" alt=":yes:" title="Yes    :yes:" data-shortname=":yes:" /><img src="/styles/default/xenforo/smilies/default/yes.gif"  class="smilie" loading="lazy" alt=":yes:" title="Yes    :yes:" data-shortname=":yes:" />Not only does this drug help to reduce blood pressure and reduce the risk of chronic renal failure, but it also helps to reduce/delay the onset of heart failure, by preventing remodelling of the left ventricle.Statin This is useful even in patients with a normal cholesterol level! Some trusts treat all MI patients with a statin, others only treat those with total cholesterol >4mmol/LLong term management(Secondary Prevention measures)Cardiac rehabilitation programsAll patients should be offered places on these programs, and programs should always involve an exercise component. You should not exclude a patient from any part of the program if they chose not to attend any individual partsThese programs generally offer support to achieve the goals listed below:Smoking cessationIncrease in exercise – encourage regular daily exercise, and at least 30 minutes, 3x/week strenuous exerciseSex – Should avoid for 1 month after MITravel – avoid air travel for 2 monthsReduction in weightReduction in alcohol intakeDietary modification (reduced fat intake) – diet should be:High in – oily fish, fibre, fresh fruit and vegLow in – saturated fat මේවා තේරෙන්නේ නැත්තම කියන්න ... සිංහල typing අමාරුයි <img src="/styles/default/xenforo/smilies/default/sorry.gif"  class="smilie" loading="lazy" alt=":sorry:" title="Sorry    :sorry:" data-shortname=":sorry:" /><img src="/styles/default/xenforo/smilies/default/sorry.gif"  class="smilie" loading="lazy" alt=":sorry:" title="Sorry    :sorry:" data-shortname=":sorry:" /></blockquote>

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