What is good to eat for angina pectoris myocardial infarction 75 year old man myocardial infarction

Coronary heart disease** 1Nitrate preparations: basal**, mainly dilating veins, reducing cardiac preload, and at the same time having the effect of dilating coronary arteries; 2.

Receptor blockers: decreased heart rate, decreased blood pressure, decreased myocardial contractility Decreased myocardial oxygen consumption, exertional angina is preferred; Chen Ran, Department of Cardiovascular Medicine, Changsha Central Hospital3Calcium channel blockers:

Inhibit myocardial contractility, dilate blood vessels, reduce cardiac anterior and postload, and reduce myocardial oxygen consumption; dilated corona increases myocardial blood supply; Variable angina is preferred; 4.Inhibition of platelet aggregation: aspirin; 5.

Anticoagulation**: improves microcirculation and prevents thrombosis; 6.Tempering**:

Reduce low-density lipoprotein, total cholesterol, triglycerides, increase high-density lipoprotein, and stabilize atheroma plaque; 7.Interventional**: Stenting; 8.

Surgery: Coronary artery bypass grafting. 9.

Healthy lifestyle. View the original post

Take you to understand the oxygen supply to the heart muscle The heart is the most active organ in the human body, and the heart must keep beating to maintain the needs of the human body's vital activities. It is the heart muscle cells that keep the heart beating. The heart muscle has a large blood flow and high oxygen uptake.

For a 70kg person, the total blood flow of the myocardium is equivalent to 250 ml of Mn, which accounts for about 5% of the cardiac output; Myocardial oxygen demand is high, 10 times the average oxygen demand of the whole body tissues and 45 times that of skeletal muscle. The arterial oxygen capacity is about 20ml%, and after the blood flows through the myocardium, about 70% of the oxygen is taken up by the myocardium, which is the largest arteriovenous oxygen difference in the body organs, while the general tissue only takes up 22% of the oxygen in the arterial blood. This is because the energy required for the heart's activity is almost entirely dependent on aerobic metabolism, and even at rest, the heart muscle is almost maximizing oxygen uptake from the arterial blood.

The small volume of myoglobin binding oxygen in myocardial cells, coupled with the high oxygen consumption of myocardium, makes the oxygen reserve capacity in myocardial tissue very small and the oxygen tension is very low. Once the myocardium is ischemia (or hypoxia), or the myocardial oxygen consumption increases, the myocardial oxygen demand can only be met by increasing coronary blood flow. Under normal circumstances, the coronary circulation has a large reserve capacity, and its blood flow can change significantly with the physiological condition of the body, and the coronary blood flow is 6 7 times that of rest during strenuous exercise; In the event of hypoxia, the coronary arteries dilate and blood flow can increase by 4 to 5 times.

When coronary artery stenosis or occlusion is caused by coronary atherosclerosis, or coronary artery spasm, the coronary artery cannot be compensated for dilation, and there is a contradiction between the supply and demand of myocardial blood flow, resulting in angina pectoris and even myocardial infarction. View the original post

For patients with heart failure and angina, it is recommended that they can be taken orally, such as hydrochlorothiazide tablets and spironolactone, and at the same time, Oakchai can be combined with oral receptor blockers, which can not only prevent left ventricular remodeling, delay the progression of heart failure and angina pectoris, but also better reduce myocardial oxygen consumption and alleviate the patient's current uncomfortable symptoms.

If the patient's current heart failure symptoms are severe, then in addition to oral medication, it must be combined with intravenous administration to correct heart failure and angina. For example, patients can combine drugs such as intravenous isosorbide nitrate, and on the basis of oral aspirin, patients can also combine oral clopidogrel to further antiplatelet and improve angina symptoms. In addition to this, patients can also receive a subcutaneous injection of low molecular weight heparin.

The cause of angina pectoris is mainly because of myocardial ischemia, which gives people not pain, but chest tightness, blockage, and pain outside the chest, such as headache, toothache, etc., at this time, you can take Tongxinluo capsule, this Chinese patent medicine can dilate blood vessels, improve myocardial ischemia, and can also inhibit vasospasm, effectively prevent the rupture of vulnerable plaques, and reduce the risk of cardiovascular and cerebrovascular diseases. If there is cardiac slag failure at the same time as heart dismantling, it means that the patient's condition is very serious, and it is necessary to first carry out ** for heart failure, and then perform coronary angiography examination after the heart failure is stable, so as to further clarify the stenosis in the coronary arteries, and take targeted measures for selling jujubes, and there are also a lot of relevant information.

Divided into: Pain is divided into stable angina pectoris and unstable angina, which are generally stable.

Remission** First of all, we should adjust the diet, especially not overeating, abstain from smoking and alcohol, reduce the mental burden, and maintain appropriate activities, but not to cause illness.

In terms of drugs, there are some anti-angina drugs with long-lasting effects to prevent angina attacks.

It is best to go to the hospital for specific medication, take the patient and do some examinations, because it includes single medication and alternate use and combination medication, according to the specific situation of the patient, the general drugs are metoprolol, isosorbide dinitrate, verapamil, nifedipine, trimetazidine, etc.

Interventional** and surgical** can also be performed.

1.Low cholesterol, low salt and low fat.

2.Eat less or no sweets; Avoid fried foods, caviar, egg yolks, etc.

3.Don't overeat, limit salt and don't forget to supplement potassium. Eat more potassium-rich foods, such as beans and their products, potatoes, seaweed, kelp, shiitake mushrooms, mushrooms, yams, spring bamboo shoots, winter bamboo shoots, fungus, buckwheat, bananas, watermelon, etc. To help moderate sodium and protect cardiomyocytes.

4.Limit the intake of lipid protection, control foods high in sugar, and eat more foods that can lower blood lipids, such as milk, goat milk, soybeans, red beans, mung beans, broad beans, peas, lentils, kidney beans, bean sprouts, carrots, cauliflower, leeks, garlic, green onions, onions, ginger, tomatoes, shiitake mushrooms, fresh mushrooms, seaweed, kelp, fish, citrus apples, hawthorns, peanuts, etc.

Dietary factors to avoid in coronary heart disease.

Avoid high-fat, greasy, and thick-tasting foods: The diet of coronary heart patients should adhere to the principle of "three lows, two highs and one excellent", namely: low salt, fat substitute, low cholesterol, high vitamins, high fiber, and high-quality protein.

Angina patients can eat more fruits rich in vitamin C, such as oranges, lemons, kiwis, tomatoes, strawberries, if calculated by the content of vitamin C in 100 grams of fruits, kiwifruit contains the most vitamin C, in addition to fresh jujubes, oranges are also a good choice to supplement vitamin C, angina patients can eat more fish, fish can prevent blood clots, can regulate blood lipids.

In addition, you can eat chili peppers, although chili peppers are very short in anti-thrombotic function, but people who often eat chili peppers are very helpful in promoting micro-thrombosis, red wine can also prevent the formation of blood clots, or you can eat grapes, drink grape juice are OK, in addition angina patients can drink more tea, green tea can be anti-thrombosis, when drinking tea, it also increases the amount of water intake, and it is also helpful to dilute the blood, the substances contained in black fungus can also play a role in preventing blood clots, and you can use olive oil to fry vegetables for cooking, It can also be helpful for patients. Angina pectoris is very common. Angina pectoris is generally caused by coronary heart disease.

Patients with coronary heart disease are often accompanied by hypertension and hyperlipidemia. Such patients should pay attention to a low-salt and low-fat diet in their diet, avoid eating some foods with high fat content, avoid eating foods with high salt content, eat more green vegetables and fresh fruits, such as eating some celery, rape, spinach, broccoli, radish, cucumber, apples, bananas, grapefruits, oranges, eat more vegetables and fruits, which can not only supplement vitamins and dietary fiber, but also reduce blood lipids and prevent atherosclerosis. It is also very suitable for patients with angina, and in addition, eat more whole grains rich in dietary fiber.

In addition, patients with angina pectoris also need to be scientifically and standardly applied to improve myocardial blood supply under the guidance of doctors in a timely manner** to relieve the symptoms of angina.

Often people in the middle of the night when sleeping, suddenly angina pectoris, in fact, the heart and the beam colic is generally related to heart disease, and many times are caused by insufficient blood supply to the heart, let's take a look at the science, what medicine to take for angina.

1.First: angina pectoris is a dramatic, temporary ischemia and hypoxia syndrome of myocardium caused by insufficient blood supply to the coronary arteries.

Angina pectoris is characterized by episodic chest pain or chest discomfort. Nitroglycerin is recommended, followed by isosorbide dinitrate, pentatetranitrate and isosorbide mononitrate**.

2.Second: angina pectoris is a clinical syndrome with episodic chest pain or chest discomfort as the main manifestation caused by coronary insufficiency, myocardial abrupt, temporary ischemia and hypoxia.

**Drugs for angina: nitroglycerin, propranol, nifedipine, compound salvia dripping pills, quick-acting Xingxin pills, etc. are commonly used drugs for this disease.

3.Third: control salt intake. Eat less salt, the main component of salt is sodium chloride, long-term consumption of large amounts of sodium chloride, will increase blood pressure and damage the vascular endothelium. Patients with angina should have a salt intake of less than 6 grams per day.

Precautions. Angina pectoris can be relieved by medication, but not completely, in fact, angina can also be prevented through the usual diet, it is best to quit smoking and alcohol, and eat more marine fish and soybeans to help prevent and treat coronary heart disease.