Medical treatment of mountain heart disease, treatment of high altitude heart disease

1.So so**.

In addition to individual differences in hypoxia, exertion, cold, and respiratory tract infections are often predisposing factors in patients with hypercardiac disease. Therefore, in the plateau, attention should be paid to the combination of work and rest, to ensure sleep time and sleep quality, and to carry out appropriate physical exercise. Patients with cardiac insufficiency should pay attention to bed rest.

Adjust your diet to eat more fruits and fresh vegetables, and avoid smoking and excessive alcohol consumption.

2.Oxygen therapy. Oxygen inhalation is an important means to correct hypoxia, increase blood oxygen saturation, and improve cardiac function. Oxygen is given intermittently or continuously with low flow (1L minutes) according to the condition, and it is generally not necessary to use high-concentration oxygen to increase the PAO2 to 50mmHg and SAO285% or more.

3.Cardiac and diuretic.

Patients with heart failure should choose cardiac agents, such as cedilan, digoxin, etc. It can also be combined with dihydrogram urinary thiazine, furosemide, etc.

4.Lowers pulmonary artery pressure.

Pulmonary hypertension is the key to the development of hypercardiac disease, and aminophylline or phentolamine can be used as appropriate.

5.Antibiotic.

Patients with high heart disease are very susceptible to respiratory tract infections, and broad-spectrum or general antibiotics can be used to prevent and treat infections according to their conditions.

6.Get out of the highland environment.

Patients with significant cardiac enlargement, significant pulmonary hypertension, and severe cardiac insufficiency should be considered for moving to a plain or lower elevation**.

Alpine heart disease is a clinical type of chronic altitude sickness, which is more common in migrants above 3000m above sea level, and its pathogenesis is not clear, and the clinical process is chronic, characterized by hypoxic pulmonary hypertension and right ventricular enlargement in the early stage, and left ventricular hypertrophy and enlargement and total heart failure in the late stage. It is classified as one of the clinical types of Monther's disease (Mong's) in foreign mountain sickness medicine, because the body is in a high-altitude hypoxic environment for a long time and chronic hypoxia occurs, which affects the conduction system and myocardial tissue in the early stage, and the myocardium spontaneously maintains the myocardial blood perfusion and contraction matching by "down-regulation" functional activities (reducing oxygen demand), which is essentially to maintain the balance between the supply and demand of myocardial oxygen.

1.So so**.

In addition to the individual differences of hypoxia, patients with high heart disease should pay attention to the combination of work and rest, ensure sleep time, and sleep consumption and appropriate quality physical exercise, and patients with cardiac insufficiency should pay attention to bed rest. 2.Oxygen therapy.

Oxygen inhalation is an important means to correct hypoxia, increase blood oxygen saturation, and improve cardiac function. 3.Patients with cardiac and diuretic heart failure should choose cardiac enhancers, and piloside C can be selected

Cediran), digoxin, etc., and can be combined with hydrochlorothiazide (dihydrogramthia), furosemide (furosemide) or etanic acid (sodium diuretic).

(1) Acute: acute high-altitude pulmonary edema;

2) Chronic: Chronic high-altitude heart disease (early manifestation of chronic hypoxic pulmonary hypertension).