Keywords: coronary heart disease treatment
The principle of treatment of coronary heart disease is to improve the blood supply to the coronary arteries and reduce the myocardial oxygen consumption, while the treatment of atherosclerosis. Specific treatment for the patient’s specific situation, choose different methods of treatment.
Attack treatment: ⑴ rest: attack should immediately rest defunct symptoms may disappear. ⑵ medication: :0.3-0 .6 mg of nitroglycerin sublingual, can be effective in 1-2 minutes
Remission of treatment:
(1) Non-drug treatment: (1) avoid predisposing factors; ②, adjust improper diet, avoid fullness; ③, adjust the workload and daily life, relieve the mental burden; ④, ban alcohol and tobacco; ⑤, appropriate physical activity; ⑥ instability angina should be rest.
⑵, drug treatment:
① nitrate preparations: A, isosorbide dinitrate :5-20mg (3 times daily) B, Franc Fortune Delight: 10 mg (three times daily) C, long-acting nitrate tablets orally.
②, β-blockers: reduce myocardial contractility and oxygen consumption, relieving angina attack. Common glutamine, metoprolol.
③, Ca blockers: expansion of coronary spasm, inhibit contraction, reduce oxygen consumption, reduce cardiac stress, commonly verapamil and diltiazem, the best of the medicines to treat variant angina.
Of ④, traditional Chinese medicine: common Salvia, Chuanxiong Baoxin Pill Su balls.
Percutaneous transluminal coronary angioplasty (PTCA): led tube with a balloon to the coronary lesion to the pressure up to the purpose of expansion of coronary balloon.
4, turn transplant coronary artery bypass surgery (CABG): that is, we often say that coronary artery bypass surgery. It is suitable for the following situations:
⑴. Angina, particularly unstable angina medication ineffective.
⑵ coronary angiography confirmed the limitations of the main coronary artery stenosis, more than 50% stenosis distal patency and coronary diameter greater than 1.0 mm.
(3) the left main coronary artery disease or multi-vessel disease.
Shall underwent coronary bypass surgery. Vascular bridge material is taken to the patient’s own saphenous vein or internal mammary artery, radial artery, etc. as the graft material, one end anastomosis one end of the agreement in the distal coronary lesions in the aorta, the aortic blood through the vascular bridge cited to coronary artery stenosis at the remote, thus changing the blood supply of the ischemic myocardium, has a positive effect in relieving angina.
Coronary artery bypass surgery is the treatment of coronary artery atherosclerotic stenosis most widely used and a state-of-the-art surgical approach. At present, the success rate of surgery has reached more than 98%, and the long-term effect of the fine. According to statistics, the 10-year patency rate of vein grafts in about 85%, the 10-year patency rate of arterial grafts in more than 95%. Traditional coronary artery bypass graft cardiopulmonary bypass trauma on the human body. In recent years, with the advances in medical technology, heart beating under the coronary artery bypass surgery has made great progress. Bypass in beating heart without the use of the artificial heart-lung machine, only by means of special equipment, the heart of local control, heart-surgery. Compared with the traditional method, the heart beating heart coronary artery bypass surgery with less trauma and do not use artificial heart-lung machine, rapid postoperative rehabilitation to reduce the economic burden of the advantages.