Question

A patient with coronary artery disease is admitted due to acute myocardial infarction. What is the most appropriate treatment for this patient?

1) Angioplasty
2) Bypass surgery
3) Medication
4) No treatment

Answer 1

The most appropriate treatments for a patient admitted with an acute myocardial infarction due to coronary artery disease include medication, angioplasty with stent insertion, and coronary artery bypass grafting (CABG), along with lifestyle changes and long-term medication management.

Step-by-step explanation:

A patient with coronary artery disease who is admitted due to an acute myocardial infarction (AMI) requires prompt and appropriate treatment. The most suitable options are:

1. Medication including thrombolytic agents to dissolve clots, aspirin, and nitroglycerin, which facilitates vasodilation,
2. Angioplasty with a possible insertion of a stent to open blocked vessels, and
3. Coronary artery bypass grafting (CABG) to create a path around blocked arteries.

Non-invasive measures such as lifestyle changes including diet and exercise, weight loss, smoking cessation, and medications to reduce cholesterol and control blood pressure are also important in managing coronary artery disease (CAD). However, in the acute setting of a myocardial infarction, immediate interventions like angioplasty or bypass surgery may be necessary to restore blood flow to the heart muscle.