This is a first person story on Myocardial Infarction, told with the purpose of emphasizing the following points:
1. Be heart conscious when dealing with patients past fifty years, especially male patients with arteriosclerosis, hypertension or diabetes.
2. The attack of Myocardial Infarction may simulate Cardiac Neurosis, Acute Abdomen, Cardio-Spasm, Hiatus Hernia and Pulmonary Embolism. The pain may be in the precordium, in the abdomen or there maybe no pain at all.
3. ECG changes may appear late. Don't rely solely on ECG for diagnosis. Rely more on the clinical picture and be called a Clinician rather than a Technician.
4. Take good care of the bowel, especially if the patient has hemorrhoids. Many patients were lost while straining during defecation.
5. Be cautious in giving the prognosis- as a seemingly mild infarction with a peaceful course may suddenly die.
6. Try fibrinolysin in your cases.
7. Anti-coagulation should be done under laboratory control.
8. Don't give nitroglycerine when the diagnosis of Myocardial Infarction is already established.
9. There is a program of graded activity for post-myocardial infarction cases.
10. Regulate the diet and cut off the smoking of your Myocardial Cases.