Stages of coronary heart disease: diagnosis, treatment

Stages of coronary heart disease: diagnosis, treatment

There are several stages of coronary heart disease. All of them pose a threat to health, read this in the article.

Coronal heart disease is a disease caused by disorganization of proper blood supply, which is why acute damage to the heart muscle occurs.

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There are several stages of ischemic disease. We will talk more about this in this article below. Read further.

Causes of coronary heart disease

Causes of coronary heart disease
Causes of coronary heart disease

Violation of coronary circulation provokes coronary heart disease. This happens due to the deterioration of the patency of the arteries, as a result of which saturated arterial blood ceases to enter the heart. But this is not the only reason.

  • An exhausting physical activity can also be the cause of pathology.
  • The main cause of coronary heart disease is atherosclerosis of the coronary arteries, which is observed more than 90% of patients With this disease.
  • In people with overweight, fat deposits form a plaque, which leads to narrowing of the arteries. The internal organs of a person do not receive the necessary amount of oxygen and nutrients due to worsened blood flow.
  • The vessels can become more firm over time, and plaques form on their inner walls.

A reduced blood flow causes pain and unpleasant sensations in the chest area due to excess toxins.

Stages of coronary heart disease

Stages of coronary heart disease
Stages of coronary heart disease

There are several stages of coronary heart disease:

  • Painless myocardial ischemia

With this form of the disease, pathological changes in the heart muscle are observed, which do not cause pain. The insidiousness of pathology is precisely in its painlessness, so it is not always possible to identify it. Most often, this form of the disease has a less positive prognosis, but with timely diagnosis, diagnosis, change in the lifestyle of the patient and correctly selected drug therapy, everything can be corrected. This pathology is found approximately 35% all population of the globe. Painless ischemia, like angina pectoris, most often occurs due to a combination of various diseases. For example, stenosis or problems with platelet aggregation may be the culprit.

  •   Heart arythmy

The arrhythmia of the heart is released in a separate group of heart disease. It is characterized as an unstable frequency and rhythm of heart contractions. Deviations from the normal rhythm of the heartbeat are diseases of various types. For example, such as tachycardia, bradycardia or extrasystole. Pathological factors affect the improper operation of the functions of the heart, which is why electrical heterogeneity appears inside the myocardium, which leads to impaired heart rate. If the arrhythmia is not treated, then the patient's condition will deteriorate and this will lead to the next stage.

  • Insufficient blood circulation of the heart

This stage of coronary disease occurs if the heart does not have time to fulfill its function. This happens due to insufficient support of the organ and tissues with those products that are important to them for proper operation. And also due to a large accumulation of harmful substances in the body. The main reason in the failure of normal blood circulation is the dysfunction of one or both ventricles of the heart.

  • Postinfarct cardiosclerosis

This condition may appear due to the previously transferred myocardial infarction, especially when the patient neglects the advice of a cardiologist. During this pathological process, a sclerotic replacement of the dead cells of the heart muscle during suffered heart attack occurs, which leads to the impossibility of forming scars and performing important functions. In this case, the heart does not work in full and does not cope with the required amount of work.

  • Myocardial infarction

This condition is very difficult, which requires immediate hospitalization. With myocardial infarction, cardiac blood circulation is suddenly disturbed, most often due to a thrombus (blood clot), insufficient blood flow to the heart seriously damages the heart muscle. Most often, myocardial infarction occurs in people over 45 years old, and in men its occurrence is found in 4 times morethan women. The treatment of myocardial infarction depends only on its severity and passing complications. Using correctly selected therapy or surgical intervention, you can remove a blood clot, which will restore the correct activity of the heart muscle.

  • Acute coronary death

This stage is also called as a sudden coronary death, that is, causes the patient’s unexpected death in the event of a cessation of cardiac activity. Most often found in men aged from 35 to 45 years. Very rarely found in children, approximately for two children out of 100,000.

The main cause of acute coronary death is pronounced atherosclerosis of the coronary vessels. More than two main branches are included in this pathological process. Doctors note that the development of acute death develops as follows:

  1. Myocardial ischemia in acute form. Most often, the state develops against the background of alcohol dependence, emotional or physical strain. This condition causes an excessive need for oxygen of the heart muscle.
  2. Asystole. Full stop of heart activity.
  3. Reducing coronary blood flow. It occurs both in a dream and in a state of wakefulness, due to a sharp decline in blood pressure.
  4. The flicker and flutter of ventricles (ventricular fibrillation).
  5. Violation of the activity of the electrical function of the organ. The heart rhythm is knocked down, the heart begins to work incorrectly, is reduced with an unnatural frequency for life, the body does not receive the right amount of blood.
  6. Stenosis. In this stage, the main arterial trunks are subject to defeat.
  7. The formation of atherosclerotic plaques, scars, vascular tears, thrombosis.

Cardiac diseases need to be treated in a timely manner, otherwise it leads to serious disorders in the body and even death. How is the diagnosis of pathologies carried out? Read further.

Diagnosis of coronary heart disease

Changes to ECG with coronary heart disease
Changes to ECG with coronary heart disease

Thanks to modern methods of cardiological studies, the disease can be recognized at the initial stage. At the first characteristic symptoms of the disease, you should visit a cardiologist. The doctor will conduct an inspection, collect an anamnesis and prescribe the necessary examinations. The following diagnostic studies are used to identify the disease:

  • Electrocardiography
  • Echocardiography
  • Holter monitoring of electrocardiograms
  • Radiography
  • Magnetic resonance imaging
  • Catheterization of the heart
  • Coronary angiography

Only the doctor prescribes a diagnostic method based on the collected history and complaints of the patient.

Ichemic heart disease: treatment methods

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Most often, doctors with coronary heart disease prescribe drug treatment for patients with coronary heart disease. Here are treatment methods:

  • Anticoagulants are used to minimize the risk of thrombosis.
  • Be sure to prescribe drugs that support sufficient oxygen in the blood.
  • Prostaglandins and antioxidants can also be prescribed - Kilikhinon (Coenzym Q10), Mexidol and etc.
  • Antibiotics are much less common for treatment - cyclosporinsas well as drugs such as  erythromycin, clarithromycin, quinopratin/Dalfo -Prestin and etc.
  • Such types of therapy as shock wave therapy and hirudotherapy are often prescribed for drug treatment.
  • In combination with medications, it is possible to use herbs and infusions related to traditional medicine - hawthorn, motherwort, rosehip, clover, mint and etc.

It is important for all patients suffering from ischemic heart disease to visit a cardiologist in time, fulfill all appointments, as well as undergo planned medical examinations to control the development of the stages of coronary disease. In addition, if a person first experiences ailments and pain in the chest area, in no case should you postpone a visit to a specialist, because it can cost life!

Video: coronary heart disease (coronary heart disease, angina pectoris)

Video: methods of treatment, diagnosis and prevention of coronary heart disease

Video: coronary heart disease (coronary heart disease) - symptoms and treatment. Family doctor

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