What about myocardial ischemia? I have to consult.

Myocardial ischemia caused by coronary atherosclerotic stenosis is commonly known as coronary heart disease. Usually myocardial ischemia is symptomatic, such as chest tightness, breath holding and chest pain, which is called angina pectoris. Angina pectoris is the most common coronary heart disease. Some patients may be asymptomatic, but ischemic ST-T changes can be found in ECG or treadmill exercise examination (note: not all ST-T changes are ischemic changes, and ECG changes for diagnosing myocardial ischemia are standard), or positive results can be found in other examinations. This condition is occult coronary heart disease. No matter which type, once myocardial ischemia is diagnosed, it means that the oxygen supply to the myocardium is unbalanced, which will cause harm to the human body in the long run.

No symptoms, but it is also worthy of attention:

What deserves attention is asymptomatic myocardial ischemia. About 25% ~ 50% of sudden death patients had no history of angina pectoris before their death, and nearly 90% of autopsies found severe coronary atherosclerosis. Therefore, no matter whether there are symptoms or not, even if it is only found by chance in physical examination, as long as there is definite myocardial ischemia, it is necessary to actively treat it, including drug therapy, drug intervention (that is, coronary stent implantation) and surgical coronary artery bypass grafting.

Drug therapy is the first choice, combined with examination and adjustment:

Common myocardial ischemia can usually be treated with drugs, including nitrate drugs (nitroglycerin, isosorbide mononitrate sustained-release tablets, etc. ) improve myocardial blood supply, beta blockers (metoprolol, bisoprolol, etc. ) reduce myocardial oxygen consumption, and aspirin (anti-platelet aggregation) and statins (regulating blood lipid and stabilizing plaque) strengthen long-term efficacy.

If necessary, further examination should be carried out on the basis of ECG and treadmill examination, such as coronary CT examination, so as to choose the next treatment plan. In particular, coronary angiography is still the gold standard for the diagnosis of coronary artery diseases.

Always prevent and control, not careless:

First of all, a healthy lifestyle is the basis of treatment and should always be adhered to. Including:

(1) A reasonable diet. Eat regularly. If you are not full, you should pay attention to hydrating and eat more fresh fruits and vegetables. In addition to the low-sugar diet, it is best for diabetic patients to eat more meals and a small amount, but the total amount remains unchanged in one day, which is conducive to the stability of blood sugar control; Patients with hypertension should limit the intake of sodium salt to no more than 6 grams per day; Patients with dyslipidemia strictly control the intake of cholesterol, such as fat meat, egg yolk and animal viscera.

(2) Appropriate exercise. Encourage aerobic exercise, such as Tai Ji Chuan, walking, jogging and swimming. Hypertensive patients with unstable blood pressure control should avoid strenuous exercise, and the amount of exercise should be controlled at 70% ~ 80% of normal people; Reasonable work and rest, pay attention to work and rest, and ensure adequate sleep.

(3) Quit smoking and limit alcohol.

(4) Peace of mind. Avoid excitement and stay in noisy environment for a long time.

(5) control weight.

Secondly, go out and prepare emergency medicines such as nitroglycerin or quick-acting jiuxin pills; See a doctor regularly; Receive health education.

This screenshot is from the book "Myocardial Infarction and Myocardial Rehabilitation", which can be downloaded online!