Acute myocardial ischemia, questions about myocardial ischemia

Based on your oral symptoms and hospital diagnosis, at this time, the diagnosis should be: stable angina. **The goal is to prevent acute myocardial infarction or sudden cardiac death.

They should understand the common sense of coronary heart disease, and patients with "chronic diseases" should learn to manage themselves.

If it is diagnosed by the hospital in 08 and myocardial ischemia, it means that the blood vessels supplying the heart have been highly stenotized (greater than), and the official cavity has become narrowed, so myocardial insufficiency will occur. After more than 4 years, atherosclerosis will develop further, and the degree of stenosis may be greater than 70% or higher before stable angina can occur.

**Suggested Methodology:

1. If the drug is not well controlled and the occurrence of angina cannot be controlled, intervention** (stent placement) can be carried out, but it must meet the indications for placing the shelf.

2. Drug**, also known as conservative**. Drugs**, which require patients to control blood pressure and blood lipids (especially LDL-C) more strictly than the general population. Blood pressure value 130 85mmHg, LDL-C 2,5mmol L.

Specific drugs: aspirin + nifedipine extended-release tablets + simvastatin. Thereinto; nifedipine extended-release tablets or amlodipine besylate tablets; Captopril or valsartan should be determined by a physician to be preferred.

Hello, myocardial ischemia has a lot to do with coronary atherosclerosis. Be early**. Patients should have a comprehensive examination to choose the appropriate method after clarifying their own situation, including drugs, stenting and bypass.

Pay attention to a low-salt, low-fat and light diet; Get enough sleep; Develop good living habits, defecate regularly, and not overwork; emotionally stable; Exercise moderately. Commonly used drugs: heartache, nitroglycerin, heartache, etc.

Let's take the spleen pill for a while.

It is best to go for a coronary angiography examination, because ECG examination mainly has a high diagnostic value for arrhythmias, and the diagnosis of coronary heart disease is very inaccurate except for typical myocardial infarction, in which ST-segment depression and T-wave changes are multifactorial (such as electrolytic abnormalities).

At present, only coronary angiography is the gold standard for diagnosing and judging coronary blood supply, so coronary angiography is the first step to determine the severity of myocardial ischemia.

In addition, taking medicine for coronary heart disease can control the disease, but remission does not mean that the lesion disappears, and you must continue to take medicine. If the coronary artery stenosis is severe, of course the best way is to have a stent or bypass. Risk factors for coronary arteriosclerosis should be controlled in the life of coronary heart patients.

Such as high blood pressure, high blood lipids, high blood sugar, quitting smoking and limiting alcohol, etc.

The resolution of the ECG you gave is too low to give a rough idea, and the ST segment in the above leads is low and there may be high voltage in the left ventricle, suggesting myocardial ischemia and left ventricular hypertrophy (which may be related to hypertension).

1.Diet therapy is not my specialty, so I will not introduce it here.

2.This electrocardiogram is mainly a few leads of the T wave is flat, occasionally inverted, but not very serious, at least I did not see the obvious ST-T segment downward movement or too high, so you can continue to take medication to control, but I have a little suggestion for these drugs used, "Yindan Xinnaotong soft capsules, brain capsules, isosorbide nitrate tablets" The first two drugs I do not use often, considering that they are Chinese patent medicines, they can be used selectively (I often use Danshen Dripping Pills, Musk Baoxin Pills, etc.), angina pectoris medication on isosorbide nitrate textbooks, You can continue to use it, and I recommend taking "aspirin, vitamin C, vitamin E, etc." for a long time, these drugs can anti-platelet aggregation, antioxidant free radicals, etc., which have a significant effect on reducing the occurrence of cardiovascular and cerebrovascular accidents! It is recommended to take it for a long time!

Myocardial ischemia is not serious at present, but you must know what the cause is, generally coronary atherosclerosis, high blood viscosity, high blood lipids, coronary artery spasm, thrombosis, etc., the medicine prescribed by the doctor is mainly to expand the crown, anticoagulation and other effects, if you are tired or nervous in the future, there may be disease, the most serious consequence is myocardial infarction, it is recommended that you check the reasons I mentioned above, blood lipids, viscosity or something, heart 64 rows CT, Coronary angiography can see the degree of vascular stenosis, if the degree of stenosis is too large, it is recommended to do PCI**, this disease is treated as soon as possible, if myocardial infarction occurs, it is irreversible, even if there is no danger to life at that time, there will be many complications in the future, and the quality of life will also decline, it is recommended to eat a low-salt and low-fat diet, avoid fatigue, avoid emotional agitation, eat more fresh fruits and vegetables, do not use force during bowel movements, exercise appropriately, and maintain good rest and sleep.

**Myocardial ischemia, take such a little medicine, but you don't feel the symptoms, but the cause of myocardial ischemia has not disappeared so quickly, you should continue to take medicine. Of course, check to see what is causing it. For myocardial ischemia, it is better to take medicine for three months at such an age.

It can be seen on the diagram that there may be myocardial ischemia, that is, coronary heart disease, and continue to take medicine. In addition, check the blood lipids, blood sugar, and blood pressure, and if there is a problem, you can also **.

According to your description, combined with the electrocardiogram examination, your mother is having an attack of "angina", it is recommended to go to a regular hospital: 1 Holter electrocardiogram 2 Coronary angiography if necessary 3 liver, kidney function, blood sugar, blood lipid examination to further clarify the diagnosis, so as to guide **.

Hello, theoretically patients with myocardial ischemia, we recommend adherence to the drug **. At present, it is recommended to visit the hospital for a re-examination, and the doctor will clarify the time and dosage of medication according to the recovery situation.

If the ECG waveform is not seen, blood pressure decreases, aortic blood supply decreases, and coronary artery blockage can directly lead to a decrease in cardiac blood supply; Valvular heart disease, changes in blood viscosity, and lesions of the heart muscle itself can also reduce the blood supply to the heart. Patients with myocardial ischemia should pay attention to their diet, which is low in fat and high in fiber. Avoid emotional agitation and get enough sleep.

I agree with the above brother Ren that it is better to take some Chinese patent medicine. There is also minimal damage to the body. Dietary therapy is also a kind of means, but the effect of dietary therapy is slow.

If your mother's condition is more serious, it is recommended to take medicine to maintain it. Like ginseng drop pills, musk heart pills, heart health capsules, etc. Good luck to your mom soon**!

LZ don't be scared by LS, the first few have said it well.

With the improvement of people's living standards, the prevalence of myocardial ischemia is getting higher and higher, it mainly appears in middle-aged men over 40 years old, menopausal women, and people with hypertension, hyperlipidemia and diabetes, or family history of hereditary history, the possibility of myocardial ischemia is relatively large, but now there are many young people in their 20s and 30s will also have myocardial ischemia. <>

What kind of disease is myocardial ischemia? What are the symptoms?

It is due to some reason, such as a decrease in blood pressure, a decrease in blood supply to the aorta, or a blockage of the coronary arteries, resulting in an imbalance between blood supply and demand, which is commonly referred to as coronary heart disease. Now with the living conditions are getting better and better, meat food is a necessity for everyone, so it leads to three highs for young and old people, if the blood lipids are too high, it will lead to insufficient blood supply, lack of oxygen to the heart, and because young people are now very fond of alcoholism, especially after drunkenness, the blood can not circulate, resulting in stomach and lung congestion, and in serious cases, it will lead to myocardial infarction and finally death. <>

Therefore, the reason why more and more people die from drinking alcohol in life is because there are some bad living and working habits, coupled with poor physical fitness, once too much drinking leads to angina, irregular heartbeat, and insufficient blood supply to the heart, sudden death occurs. <>

What should we do if we have asymptomatic myocardial ischemia?

First of all, patients with myocardial ischemia should eat and live regularly, eat low-salt and low-fat light food, reduce fat and cholesterol intake, control weight, add more fresh vegetables and fruits, and then pay attention to rest, remember not to stay up late, staying up late is very harmful to the body, will cause a relatively large burden on the heart, to exercise more, improve the body's immunity, promote blood circulation, improve the supply of cardiac oxygen, severe myocardial ischemia, to insist on taking medicine under the doctor's instructions, Positive cooperation**.

In the case of asymptomatic myocardial ischemia, it is recommended to be active to prevent the occurrence of cardiovascular and cerebrovascular events, because asymptomatic myocardial ischemia is very easy to cause myocardial infarction or sudden death, once the onset is an emergency, endangering the patient's life. In terms of **, it is mainly based on the conservatism of drugs**. There is also coronary stent implantation** that can relieve coronary stenosis.

Surgical thoracotomy bypass can also be used, myocardial ischemia.

Venous access should be actively established, and to improve the vitality of the myocardium, it is above all timely**.

Asymptomatic myocardial ischemia must go to the hospital**, and it is best to have surgery.

At this time, it is necessary to go to the hospital for examination, and cardiac stent surgery can also be done, and it can also be carried out by medication**.

Asymptomatic myocardial ischemia and hypoxia need to cooperate with the doctor to take oral medication**. Take some heart-boosting medications by mouth. It can promote the blood output of the myocardium and increase the oxygen consumption of the myocardium.