Ischemic heart disease

  Ischemic heart disease means a disease that occurs due to coronary artery stenosis or blockage. Causing the heart muscle to have less or no blood supply As a result, the work of the heart muscle is abnormal. If severe, it can cause myocardial infarction. The coronary arteries are constricted or blocked. In most cases, it is caused by hardening of the arteries. due to the accumulation of fat in the inner walls of blood vessels As a result, the path through which blood flows is narrowed. Difficulty in bleeding The heart muscle receives less blood than usual. It can also be caused by platelets and blood clots.

 

What are the symptoms?

 

The main symptom of ischemic heart disease is chest pain. especially while exerting It's better after resting, with a tight, uncomfortable feeling in the middle of the chest. Or rather to the left, deep pain, difficult to breathe There may be other symptoms as well, such as nausea, vomiting, sweating, palpitations, and fainting. It may also hurt to the shoulder, arm or neck.

 

Anyone who has a chance of ischemic heart disease.

 

The cause of ischemic heart disease It is usually caused by many risk factors. People with multiple risk factors are more likely to develop ischemic heart disease than others. and often violent of the disease than those without risk factors:

1. Male or female in menopause Males are at risk of ischemic heart disease. 3-5 times more than females

2. Smoking cigarettes

3. High blood fat (total cholesterol or bad LDL cholesterol)

4. Low HDL cholesterol (good type)

5. High blood pressure

6. Diabetes

7. Obesity and rarely exercise

8. Temperamental personality, easily angry, stressed regularly

9. Have a history of heart disease lack of blood in the family,

 

how to check to know that this disease

 

The doctor will take a detailed history, physical examination, blood tests and ECG. ECG examination while at rest will help diagnose coronary artery disease But in the case of coronary artery stenosis, the ECG is usually normal. which does not provide enough information to diagnose the disease Your doctor will recommend an electrocardiogram. While doing additional exercise called “Exercise Stress Test”, it makes the heart work harder. need more oxygen when coronary arteries inability to take blood and enough oxygen to feed the heart muscle will cause changes in the ECG and may have chest pain thus helping in the diagnosis of coronary artery disease In addition, ECG while exercising It also helps tell the severity of coronary artery disease. and the performance of the heart as well There is also an ultrasound of the heart. (Echocardiogram) to see internal structures of the heart as well, such as heart valves, myocardium, pericardium

 

How to treat

 

Ischemic heart disease due to narrowing or blockage of the arteries that supply the heart? This disease, once it has occurred, is a disease that requires continuous treatment. even if it's not cured but can control the disease The best way is Preventing the occurrence of this disease by reducing various risk factors As mentioned above, it will slow down the onset of this disease prematurely. or maybe not at all

     In those who have symptoms of ischemic heart disease for the first time is chest pain during exercise. Or get tired more easily than usual for no apparent reason. You should see a doctor early. in order to diagnose the disease correctly and will receive treatment and prevent the disease from spreading further The good part of the heart muscle can continue to function normally.

Treatment for ischemic heart disease consists of

1.  Lifestyle changes.  By reducing various important risk factors

2. 

2. drug treatment  which depends on the stage and severity, including

 

Medications to prevent the adhesion of platelets to the walls of the arteries. which results in the destruction of the vascular wall Causing the blood vessels to constrict and become more clogged

Medications to help relieve chest pain reduce the work of the heart Improves heart function

medicine to dissolve blood clots that acutely obstructs the coronary arteries to prevent myocardial infarction It will be very useful if it can be used as soon as possible. After coronary artery is acutely blocked

 

Other drugs used to treat complications include diuretics, drugs used to treat arrhythmias, etc. These drugs are used only when complications occur.

 

3.   Angioplasty by balloon It's a way to expand the coronary arteries. by using a heart catheter through an artery in the femur or wrist into the narrowed coronary arteries and dilates the blood vessels By making a balloon at the end of the catheter, the heart is inflated. In order to push the narrowed blood vessels to expand so that more blood can be supplied to the heart.

4.  Treatment by surgery on new coronary arteries. by using arteries or veins in the legs come to coronary artery To increase the passage of blood to the heart muscle more.

How to prevent it?

 

You can reduce the risk of getting this disease. By avoiding or reducing risk factors such as

 

no smoking

control blood pressure and diabetes to be within normal criteria

low fat diet or taking fat-reducing drugs as needed

weight control to be in the appropriate criteria

Get regular aerobic exercise.

Practicing meditation to clear the mind

Make sure to check your own health regularly. with an annual health check