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Myocardial ischemia actually refers to insufficient blood supply to the myocardium, the most common **, in fact, is the coronary heart disease we are talking about, coronary heart disease its full name is coronary atherosclerotic heart disease, which is the most common cause of myocardial ischemia. Therefore, if there is a symptom of myocardial ischemia, we should first judge whether the condition is stable or unstable, and we should evaluate the stenosis and degree of coronary artery later.
In terms of **, drugs ** are the most fundamental and important, including aspirin or other antiplatelet agents, which can reduce the harm of blood clots. Furthermore, beta blockers are able to control the heart rate, which can lower the heart rate and reduce the degree and range of ischemia. There are also statin lipid-lowering drugs, which can lower lipids, and at the same time have some effects other than lipid-lowering, such as stabilizing plaques and anti-inflammatory.
For patients with hypertension, we may consider ACE inhibitors or calcium antagonists to control blood pressure. If the patient has severe angina, we may consider using long-acting nitrates to alleviate one of his symptoms. At the same time, risk factors such as high blood pressure, blood sugar, smoking, and obesity should also be actively controlled.
If we evaluate the coronary artery and find that the stenosis is more severe than a severe stenosis, at this time, the drug cannot completely control the disease, and at this time we need to consider further ways, such as stents or bypasses, etc.
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Myocardial ischemia refers to the symptoms of ischemia in the heart muscle, which can manifest as chest tightness, chest pain, shortness of breath and other discomforts. The cause of myocardial ischemia is mainly due to the narrowing or blockage of the coronary arteries, resulting in normal blood flow can not be very smooth ** myocardial oxygen and nutrients, so the symptoms of myocardial ischemia appear.
For myocardial ischemia, what should be eaten in the diet, first of all, a low-salt, low-fat diet is very important. Secondly, drugs** are also very important, if myocardial ischemia is clearly diagnosed, drugs must be chosen**, including aspirin, statins and other secondary prevention drugs for coronary heart disease.
In the case of moderate to severe stenosis, a stent may be needed to dilate the narrowed blood vessel and ensure that a perfusion at the distal end can restore myocardial ischemia. If the stenosis is severe, drugs and stents cannot be resolved, coronary artery bypass surgery is an option, which can restore blood supply to the myocardium with distal ischemia. In addition, it is necessary to improve the lifestyle, eat a low-salt, low-fat diet, rest on time, and be active appropriately.
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What to do about myocardial ischemia
Myocardial ischemia refers to the decrease in blood flow to the heart, because the oxygen in the body is mainly transported by the blood, and the decrease in blood leads to a decrease in the oxygen supply to the heart, and the function of the heart muscle is not normal. Myocardial ischemia tends to cause a feeling of tightness in the chest, especially after overexertion and exercise, palpitations, shortness of breath or chest pain, which will be relieved after rest. Diseases such as myocardial ischemia are still very damaging to people's bodies, because myocardial ischemia can easily lead to myocardial infarction, and many people with myocardial infarction are asymptomatic and often prone to sudden death.
So what to do if the myocardium is ischemia?
What to do about myocardial ischemia
The first thing you need to do is go for a medical check-up. If you feel flustered and short of breath, then you need to stop what you are doing, rest and relax, and go to the hospital for a check-up when you have free time.
After myocardial ischemia is confirmed, take drugs for heart disease on the advice of a doctor. Because the cause of myocardial ischemia is mainly because the ducts are too narrow and blocked, then it is necessary to widen the blood vessels, and take drugs with the effect of replenishing and invigorating blood, mainly to let the blood flow in order to widen the blood vessels.
It is also necessary to pay attention to rest in daily life, and you can also help the remission of the condition through food. Red dates with blood tonic function can be used, and wolfberries can also be added according to preferences to make red dates and wolfberry soup to drink, which is also helpful to the body.
Myocardial ischemia can also be mitigated when detected early** to prevent myocardial ischemia from causing more serious problems such as myocardial infarction. If myocardial ischemia is very severe, then only a stent or surgical bypass is possible**. Therefore, the problem is relatively easy to solve at the earliest time.
People with myocardial ischemia should be careful not to stay up late, which will increase the burden on the heart. Eat more light and easy-to-digest foods in your diet, and check electrocardiograms, blood lipids and blood sugar regularly to avoid fatigue and mood swings.
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Myocardial ischemia refers to the clinical state of reduced coronary blood flow caused by various reasons, resulting in insufficient myocardial oxygen and other substances** and reduced clearance of metabolites. It can be caused by both coronary and non-coronary artery disease.
Daily care:1Movement is appropriate.
Activity should be done in the early morning when it is cooler, and do not exercise under the scorching sun. The intensity of the activity should be appropriate and not too long, so as to reduce the load of the heart, reduce the oxygen consumption of the myocardium, and prevent the attack of myocardial ischemia. 2.
Prevent heatstroke and cool down. When outdoors or during labor, you should wear a sunhat and prepare enough water to prevent angina pectoris caused by peripheral vasodilation and hypovolemia, which can reduce coronary blood supply and myocardial ischemia. When the weather is hot, the indoor air conditioner can be turned on, but the degree is not too low, the time is not too long, generally about 25 is appropriate, which can not only adjust the indoor temperature, but also reduce the humidity of the indoor air and increase the oxygen content in the air.
3.Living in order. Due to the heat of the summer, you should fall asleep late at night, so you should not get up too early in the morning, and you should rest properly at noon to make up for the lack of sleep.
4.Adjust medications. Under the guidance of a specialist, make some appropriate adjustments to the drugs for cardiovascular and cerebrovascular diseases that you usually take, or increase the dose of a certain drug, or increase a certain drug; Patients with a history of angina pectoris attacks can take prophylactic medications, such as propranol, pain relief, salvia tablets, etc.
If you travel, you must carry anti-angina medications such as nitroglycerin or isoamyl nitrite with you. 5.Eat a light diet.
In summer, people's digestive tract function decreases, appetite decreases, diet should be light, eat more fresh vegetables, fruits, black fungus, soy products, etc., you can eat some lean meat, fish, try to eat less greasy or high-fat food. Meals should not be too salty, as too much salt can raise blood pressure.
Defecation care: When constipation, laxatives, corks, and low-pressure oil enemas can be used. For patients with habitual constipation, laxatives should be given, and according to the condition, heartache or nitroglycerin should be taken before defecation to prevent aggravation of ischemia and sudden death.
Psychological care Explain to the patient some of the causes of the disease, the relationship between emotions and the disease, and actively cooperate with the doctor**.
Coronary heart disease is based on the principle of improving the blood supply to the coronary arteries and reducing the oxygen consumption of the myocardium, while at the same time preventing the development of atherosclerosis. Methods for coronary artery disease include medications, reperfusion (thrombolysis, heart bypass surgery, and heart stent surgery), and heart transplantation.
The choice of which method is based on the results of coronary angiography.
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Myocardial ischemia is usually a manifestation of coronary heart disease, the heart is supplied by coronary arteries, if the coronary arteries due to arteriosclerosis and vasospasm make the lumen of the blood vessels smaller, resulting in less blood to the heart muscle. If the heart's demand for oxygen increases during activity, myocardial ischemia will occur if the blood flow cannot be increased due to coronary artery disease, so if there is a manifestation of myocardial ischemia, you should stop moving, rest, and relax to achieve the purpose of reducing myocardial oxygen consumption, so that most of the angina pectoris can be relieved.
If it cannot be relieved by rest, patients with coronary heart disease need to be prepared with nitroglycerin or fast-acting heart, which is contained under the tongue and dilatates the coronary arteries to increase blood supply and relieve myocardial ischemia. If there is myocardial ischemia with reverse, you can also inhale oxygen to increase the supply of oxygen to relieve the onset of angina, and this oxygen inhalation does not take a long time, just inhalation of oxygen at the time of the attack.
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Question 1: What is the dietary treatment for myocardial ischemia? 100 points Dietary therapy for myocardial ischemia:
Dietary calories should be reduced to control body weight, total fat and intake of saturated fatty acids and cholesterol, polyunsaturated fatty acids should be increased, monosaccharide and disaccharide intake should be restricted, and appropriate minerals and vitamins should be provided.
1) Calories It is advisable to maintain an ideal body weight, of which age and physical activity are the most important. After middle age, as we age, physical activity and other daily activities are relatively reduced, and the basal metabolic rate also decreases, so the daily caloric energy required is also correspondingly reduced. If you are overweight, you should reduce the supply of heat to reduce your body weight.
The easiest way to assess whether your weight is normal is to subtract 105 from your height in centimeters. Standard weight (kg) Height (cm) 105 (or 110); Over 30 years old" 15 overweight, under 30 years old standard weight 10 is overweight, > standard weight 20 is obese. Protein accounts for 13 15 calories and fat 1; **During the diet, polyunsaturated fatty acids should be 15 20g d, and the ratio of p s should be 2 o; Foods high in animal fat are prohibited.
c) Limit cholesterol.
Food cholesterol supply, as a preventive diet, limit it to less than 300 mg d, ** diet less than 200 mg d; High-cholesterol foods are avoided. The fatty acid to cholesterol content and the ratio of p s can be found in Table 18 2.
iv) Carbohydrates.
It is advisable to use polysaccharide carbohydrates to account for heat Question 2: What to do about myocardial ischemia Is it serious Your age and symptoms do not look like myocardial ischemia, and it is useless to take Chinese medicine. An electrocardiogram alone cannot confirm myocardial ischemia.
Young people generally do not get myocardial ischemia or coronary heart disease. It is normal to have a rapid heartbeat when you are nervous or excited and when you are working, but the symptoms are obvious, you should check to rule out arrhythmias, such as making an electrocardiogram when you feel fast and uncomfortable, and if the attack is short, you can do a 24-hour electrocardiogram (holter) to evaluate the 24-hour heart rate and whether there is arrhythmia. In addition, do a heart ultrasound to rule out heart structure problems.
If you're fine, don't worry, adjust your lifestyle, I don't know how much weight you're doing? Control your weight, pay attention to rest, adjust your lifestyle, and don't pay too much attention to your normal study and life.
Question 3: How is myocardial ischemia caused??? Hello, there are several causes of myocardial ischemia
Excessive strain and excessive myocardial blood consumption can cause relative ischemia of the myocardium. 2.Volume depletion, systemic ischemia, can cause corresponding ischemia of the myocardium.
3.The blood vessels supplying blood to the myocardium are not blocked, which can cause impaired blood supply to the myocardium. 4.
Excessive aggregation of red blood cells, excessive blood viscosity, and excessive impurities can cause myocardial blood circulation ischemia. Hope it can help you and I wish you good health!
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Myocardial ischemia refers to a pathological state in which the blood perfusion of the myocardium itself is reduced, resulting in a decrease in the oxygen supply to the myocardium, abnormal myocardial energy generation, and inability to support the normal work of the heart. The blood supply to the myocardium is not static, but there are always fluctuations, but these fluctuations are regulated by the body itself, which makes the blood supply and demand relatively constant and ensures the normal operation of the heart. If any one of the causes causes insufficient blood supply to the myocardium, the body's regulation cannot meet the needs of the heart, and it constitutes myocardial ischemia in the true sense.
Main symptoms: 1. Angina pectoris: it is the most representative type of myocardial ischemia, characterized by paroxysmal and crushing pain in the anterior chest, the pain is mainly located in the posterior part of the sternum, which can radiate to the precordial area and the left upper limb.
It can be divided into stable, unstable, and variant angina. 2. Myocardial infarction: myocardial infarction is often caused by thrombosis secondary to coronary atherosclerotic lesions.
With the advancement of medical technology, the main case fatality rate of the acute phase of the disease has decreased, but it is still a serious and fatal disease, with a total mortality rate of up to 30%, and it is necessary to pay attention to prevention, especially smoking, obesity, diabetes and lack of manual labor. 3. Ischemic cardiomyopathy: long-term ischemic and hypoxic state of myocardium can lead to myocardial cell necrosis, scarring, and fibrous tissue hyperplasia between myocardium, which is called ischemic cardiomyopathy and myocardial fibrosis.
It is characterized by the heart becoming stiff and gradually enlarged, causing arrhythmias and heart failure. The prognosis is poor, the mortality rate is high, and the main causes of death are progressive congestive heart failure, myocardial infarction, and severe arrhythmias. 4. Sudden death:
There are often no life-threatening pre-manifestations, mainly due to a sudden onset of severe arrhythmias in the heart. Coronary heart disease is the most common underlying cardiac lesion in patients with sudden cardiac death.
Care of myocardial ischemia:
1) Adjust medication. >>>More
Always have salvia dripping edge pills.
Hello, if there are no symptoms, during the physical examination, the doctor said that myocardial ischemia is not needed**. >>>More
Diet of patients with myocardial ischemia Patients with myocardial ischemia should master several principles in their diet, pay attention to a low-salt, low-fat and light diet, and eat more vegetables such as sweet potatoes, tomatoes, and carrots, which are foods that can improve the patient's body resistance. Drink some green tea, tea contains a small amount of theophylline, has a certain diuretic effect, has a certain help to the patient's myocardial ischemia**, there is also vitamin C in the tea, which can play a good role in the prevention and treatment of arteriosclerosis, but it should not be too strong. Eating some black fungus every day can help reduce blood viscosity and improve myocardial ischemia. >>>More
The conditioning of myocardial ischemia is mainly divided into life conditioning and drug conditioning, as follows: >>>More