återinfarkt

återinfarkt is a Swedish term that translates to reinfarction or recurrent infarction in English. It refers to a new myocardial infarction occurring in a patient who has already experienced one or more heart attacks. This can happen in the same area of the heart as the previous event, or in a different location.

The risk of reinfarction is influenced by several factors. These include the extent of previous heart damage, the effectiveness of treatment for the initial infarction, the presence of underlying cardiovascular risk factors such as high blood pressure, high cholesterol, diabetes, and smoking, and lifestyle choices. Inadequate adherence to prescribed medications, such as antiplatelet drugs or statins, significantly increases the risk.

Symptoms of a reinfarction can be similar to those of a first heart attack, including chest pain or discomfort, shortness of breath, pain radiating to the arm, jaw, or back, and sweating. However, symptoms can also be less typical or more severe. Prompt medical attention is crucial if these symptoms occur.

Management of reinfarction involves immediate medical evaluation and treatment, similar to a first heart attack, often including reperfusion therapy like angioplasty or thrombolysis. Long-term management focuses on aggressive risk factor modification, rehabilitation, and strict adherence to medication to prevent further cardiac events.