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Cardio Vascular Diseases Part 3: Myocardial Infarction

Myocardial Infarction

By Dr. Guillermo Zamora, MD, Homeopath

Myocardial infarction represents a medical emergency. In most patients, the cause of infarction is the presence of an occlusive or near occlusive thrombus above or beside a broken atherosclerotic plaque. In rare cases, infarction occurs with normal coronary arteries or as a result of coronary spasm or embolism. The mortality of stroke is greatest in the first 2 hours after the onset of symptoms.

Chest pain associated with infarction is similar to angina, although feature is more intense and lasting, and not relieved by rest. Associated symptoms include dyspnea, nausea, vomiting, fatigue, diaphoresis, and palpitations.

Infarction may occur without chest pain, especially in patients after surgery, the elderly and those with diabetes mellitus or hypertension, in which symptoms may only include isolated dyspnea.

When classic symptoms are present there may be pressing pain with heaviness generally central location and substernal. Dyspnea. Fatigue. Irregular heartbeat. Anxiety. Fear of imminent death. Nausea. Vomiting.

Speaking of chest pain, we must remember that referred pain may lead to atypical sites of myocardial pain. Thus the heart can feel pain in the neck and jaws, or mouth to the stomach (as if indigestible), arms, hands and fingers of the hands.

Medical emergencies like this, the time is gold. Then, every homeopath must assess the factor risk time.

Mode of administration in this case:

I usually give potencies ranging from 30c to 200c.

1.-Three drops or 3 granules steeped in a cup of water. A few drops or a half of a teaspoon every 2 minutes for 20 minutes or as needed.

2.-If the patient does not improve you must change de remedy.

***Note: if you do not see your patient improving since the point number 2, it is possible that it is about an occlusion covering great percentage of the diameter in the artery, and then we are talking about a mechanic problem that must be tried with mechanical resources. Send immediately your patient to hospital.

Today, allopathy has available many ways to destroy thrombus through fibrinolytic drugs, i.e. estreptocinasa, plasminogeno. Or if there is occlusion the patient could be candidate to sten*.

*A sten is a device that is placed in a coronary artery that is blocked, the device allows this permeable again, this is placed by an angioplasty, this is not a cardiac surgery is a procedure performed only puncturing one of the femoral arteries, does not require general anesthesia, or more invasive methods that a peripheral line and tapping into the femoral artery and if all is successful you are discharged the next day.

Of course that there has been several times that I have found great improving in patients with this kind of symptoms, but any way, after of an event like this the patient must be studied taking into account our treatment goals above mentioned.

The following are the more persistent remedies in an emergency due to Myocardial infarction.

-Arsenicum album:

Agitation after illness forces have been reduced drastically. The patient wants to be moved from one place to another or from one to another bed, as the slightest effort on his part, terribly exhausted. Fear of death, but not as aconitum fear, but rather the anxiety and the impression that taking drugs is useless anyway because he will die.
Anxiety attacks that forced him to get out of bed at night, remember that aggravation schedules ranging from 1 to 3 of the morning. He wants to be constantly changing place, walk if he has enough strength.
He is vastly improved by the heat and hot applications. The tongue may be red and dry with dilated papillae, the edge of the tongue retains the imprint of the teeth, or can be white as chalk or white paint, or lead-colored, or brown, or black. The thirst is intense but can only drink small amounts of water. He presents great prostration. Body cold to the touch. The pulse may be abnormal, soft, contracted, feeble, frequent, small or imperceptible. Following Arsenicum the deeper homeopathic substance can stabilize heart function.

It can be summarized as follows:

-Subjective symptoms: Burning pain

-Objective symptoms: Anxious, agitated, anxious, Prostrate, Dyspnea.

-Modalities: Worsen cold, during to 1 to 3 am, movements.
Improves hot Applications.

-Cactus Glandiflorus:

Subjective Symptoms: Cries of pain. Fear of dying, having something in your heart. He thinks his patient is incurable. Constricted feeling like strip or band or around the heart. Constrictive pains and spasms that make it scream. Not tolerate clothes on the neck. Intense chest pain, crushing, radiating into the left thoracic limb (arm, forearm, hand, fingers of the left.).


Objective: Expression anguish, suffering. Blood Co-management often results in bleeding. Pulsations and throbbing. Marked cardiovascular action. Atheromatous arteries. Contraction of blood vessels. Dyspnea. Fundamental action in the heart. Cardiac valves.

Modalities: Worsens from slightest touch, lying down, leaving and walking, climbing stairs, for efforts by movements.
Improves resting, sitting, or absolutely still.

-Lactrodectus Mactans:

Subjective: Terrible anxiety, cries because he is going to stop his breath and will die. Squeezing pain on and around the heart (chest) radiating to axilla, shoulder and left arm. Left arm paresis.

Objective: In the face with an expression of great anxiety. Apnea.

Modalities: aggravated by the slightest movement. Better: Sitting still and hot bath. Left-sided.



-Laurocerasus:

Subjective: Anxiety and fear

Anxiety and fear for imaginary ills. poor memory. Chest pain.

Subjective Symptoms: Cyanosis and heart disease. Hypertrophied fingertips. Gasping breath. He carries his hand over his heart by grief. With dyspnea and shortness of breath blocked.

Modalities: Aggravated before eating, when bending, evening and night.
Improved sleep and outdoors.

-Cabo Vegetabilis: vital forces nearly exhausted, all cold, especially from knees to feet, lies motionless, as if dead. Thready and intermittent pulses, faint and small pulses, cold sweat. Flatulence.

-Naja Tripudians:

Cadiaca weakness, dyspnea, prostration, cough reflex, palpitations worse while walking. Left ventricular hypertrophy. (Lachesis).

Talking about Pulses we can find next circumstances:

1.- Accelerates the slightest movement: Gelsemium


2.-Carotid:
Bell


3.-Hard: Aconitum


4.-Weak: Gelsemium


5.-Thready*: Carbo veg, cactus.


6.-
Intermittent: Carbo veg, cactus, digitalis.


7.-Irregular: Digitalis.


8.-Imperceptible: Catus.


9.-Slow: Gelsemium.


10.-Too slow: Digitalis.


11.-Alternating slow with fast: Digitalis.


12.-Full: Aconitum


13.-Fast: Aconite.

*Thready: A rapid pulse, weakness, low amplitude. It is found in patients with hypotension, dehydration, or circulatory collapse (shock).

Views: 741

Comment by Dr Muhammed Rafeeque on March 22, 2010 at 2:25am
If a person having chest pain uses his index finger to show the painful area in the chest, it may not be due to cardiac pain. On the other hand, if he holds his chest with the hand and says that he has pain/heaviness, it may be a cardiac pain.
Now a days we don't get diseases with classical picture. A cardiac patient may come with abdominal pain, left sided toothache etc. ECG has to be taken repeatedly, because first ECG may be normal. In the ECG we should look for ST elevation/depression, prominent Q, T inversion and we should compare the waves in opposite leads.
Comment by Dr Guillermo Zamora on March 22, 2010 at 1:08pm
Thank you Dr Rafeeque for your always welcome contributions.
Comment by Dr Piyush Kumar on July 6, 2010 at 3:21pm
Elder patient and Known Diabetics have painless MI. Children just cry or become dyspneic.
Comment by Dr Guillermo Zamora on July 6, 2010 at 3:40pm
...Anyway, you will find lots of symptoms in that kind of patients. Give the similar.

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