Therapy

The therapy for heart stabbing depends on the underlying disease. For this reason, emergency treatment should be initiated for acutely occurring cardiac stabbing without a confirmed diagnosis. For patients suffering from “harmless” angina pectoris due to pre-existing coronary heart disease, in many cases physical rest and the administration of a nitro spray are sufficient to make the stabbing disappear completely.

Furthermore, the elevation of the upper body of patients suffering from acute heart stabbing is considered a particularly suitable treatment measure. In case of a real myocardial infarction with stabbing heart, sweating and fear of death, the therapy is completely different. For the affected patients, the administration of the nitro spray usually does not provide any relief.

For these patients, the first few minutes of the heart attack are of decisive importance, because within the first hour there is still the chance to reopen the blocked vessels with the help of a so-called lysis therapy. For medical laymen who observe a heart attack, quick action is therefore the top priority. First of all, an emergency call should be made immediately (emergency number: 112).

The medical emergency therapy is carried out by the administration of a nitro spray, the relief of the heart stabbing by morphine preparations, the administration of anticoagulant ASA and clopidogrel and the supply of oxygen. In the clinic, the aim is then to reopen the occluded coronary arteries and thus ensure the oxygen supply to the heart muscle cells again. Possible methods are balloon dilatation or the insertion of a so-called stent.

Patients who have suffered a myocardial infarction with cardiac stabbing are usually monitored intensively during the first few days. Following clinical monitoring and treatment, the majority of patients require lifelong drug therapy. This is intended to prevent the re-occlusion of a coronary vessel and thus prevent another myocardial infarction with cardiac stabbing. The most frequently prescribed drugs in this context include beta blockers, ASA, statins, ACE inhibitors and clopidogrel. In addition, rehabilitation lasting several weeks and a change of habits must usually be followed.