The etiology and clinical manifestations of coronary heart disease have been introduced to you in previous popular science articles. Today, I mainly discuss with you some related knowledge about the more serious stage of coronary heart disease-coronary heart disease complicated with cardiac insufficiency.
What are the symptoms of coronary heart disease complicated with cardiac insufficiency?
The long-term development of coronary heart disease will develop to the stage of cardiac insufficiency, and patients often feel chest tightness, breath holding and insufficient breath. Mild patients may feel that there is not enough breath when climbing stairs. Severe patients may be breathless with a little activity. The most serious patients will feel that they don't breathe enough when lying in bed, and they can't even lie flat. When our doctor auscultates the patient, we can often hear the moist rales at the bottom of the patient's lungs. Pressing the patient's lower limbs can push him into the pit. This is the so-called edema of lower limbs. These two signs indicate that the patient has heart failure.
What tests should coronary heart disease and heart failure do?
Patients with coronary heart disease and heart failure need ECG, color Doppler ultrasound, blood BNP, troponin and myocardial enzymes according to the situation. Electrocardiogram (ECG) often shows myocardial ischemia, such as S-T segment depression, but sometimes it can also show normal ECG. Cardiac color Doppler ultrasound showed enlargement of heart, regurgitation of valve, segmental myocardial dyskinesia and increase of BNP.
How to treat coronary heart disease and heart failure?
Our doctor has a prescription to control heart failure in clinic, which is called cardiotonic diuretic vasodilator. Severe patients need oxygen, vasodilation is often treated with Chinese patent medicine infusion for promoting blood circulation and removing blood stasis, and diuresis is also a very important treatment measure. We often use intravenous furosemide and oral spironolactone to expel excessive fluid from the body to reduce the burden on the heart. Digoxin is a cardiotonic drug, which needs careful selection. If the dosage is not well controlled, it will easily lead to poisoning. Aspirin and statins are two basic drugs. As long as there are no contraindications, patients need to take them for life. Statins are not only as simple as lowering blood lipid, but also have the functions of stabilizing atherosclerotic plaque and preventing plaque rupture, while aspirin has the functions of inhibiting platelet aggregation and preventing thrombosis.
Friendly reminder:
The drugs mentioned in this paper may cause electrolyte disorder, liver function damage, bleeding and so on. Please take it under the guidance of a doctor and don't buy it without authorization.