ABSTRACT
For all myocardial infarctions, optimal management includes attempting to reduce myocardial demand, often using beta-blockers as well as agents aimed at reducing pain and blood pressure. Myocardial oxygen supply is increased with the administration of nitroglycerine and by alleviating hypoxemia and anemia. The presence of Surgery of Trauma segment deviation on the 12-lead electrocardiogram, elevated cardiac biomarkers, congestive heart failure, ventricular arrhythmia, or hemodynamic derangement stemming from myocardial dysfunction signify patients at increased risk. Standard interventions include administration of 325 mg of aspirin, unfractionated heparin bolus and drip. Relatively preserved myocardial functions may support a conservative approach with the myocardial infarction and/or direct further workup and management to other disorders. When coupled with altered hemostasis, blood loss, and pressure fluctuation myocardial ischemia and infarction can be provoked. Certainly, there is an interaction in a variety of patient factors such as advanced age, atherosclerosis, and the specific nature of the surgery.
