This is something that many people with myocardial ischemia care about. Today we will mark the key points for everyone and we must see the final one: 1. Myocardial ischemia must be diagnosed.

What medicine is the best for myocardial ischemia?

This is something that many myocardial ischemia care about. Today we will mark the key points for you and must see the last one:

1. Myocardial ischemia must be diagnosed

First of all, myocardial ischemia must be diagnosed.

1. Electrocardiogram ≠myocardial ischemia

High number of people have an electrocardiogram and were told that it was myocardial ischemia without asking thirty-one. Most of them are the ST segments that are lowered, the T wave is inverted, the ST segments change, and the T waves change. Then, he was told that it was myocardial ischemia without asking whether the patient had symptoms.

This is not very rigorous, because many people here, and some even do not have coronary heart disease at all, let alone myocardial ischemia. Because ST-T changes in electrocardiogram do not mean myocardial ischemia, but may be other diseases. Many people are even born like this, and some people do not even have the so-called ST depression. It’s just that some people don’t know how to see the electrocardiogram, which means myocardial ischemia.

What’s even more ridiculous is that the electrocardiogram is now automatically recognized, that is, after the electrocardiogram is done, a few lines of words will be automatically printed, which indicates myocardial ischemia, which is not scientific.

ECG must be read by people who can read the ECG. Even if the ST-T changes after reading it, myocardial ischemia cannot be directly diagnosed.

2. Coronary heart disease ≠ myocardial ischemia

When the stenosis caused by blood vessel plaque in the heart exceeds 50%, it is called coronary heart disease. Even if there is coronary heart disease, myocardial ischemia may not occur. Myocardial ischemia may occur if the cardiovascular stenosis exceeds 70%. Most myocardial ischemia can manifest as angina pectoris.

That is to say, myocardial ischemia may occur when the cardiovascular vessel is severely stenosis.

instead of just relying on an electrocardiogram, it means myocardial ischemia.

3, myocardial ischemia

myocardial ischemia diagnosis should be combined with the patient's angina symptoms, combined with the electrocardiogram, especially the dynamic changes of the electrocardiogram. Sometimes it must be combined with previous medical history, high-risk factors, etc. to diagnose it. Either it can also diagnose myocardial ischemia by cooperating with exercise tests or myocardial nuclides and other examinations.

2. Treatment of myocardial ischemia

How to treat clear myocardial ischemia?

1, aspirin + statin

statin can reduce bad blood lipids , increase good blood lipids, anti-inflammatory , stabilize plaques, prevent further growth of cardiac vascular plaques, prevent plaque rupture, prevent thrombosis, and prevent myocardial infarction; aspirin can accumulate platelets, thereby preventing thrombosis. Therefore, aspirin + statin is the basis of myocardial ischemia in coronary heart disease.

2. Control myocardial ischemia

But everyone remembers that these two drugs are only to prevent myocardial ischemia and aggravation, or to prevent thrombosis and myocardial infarction. But myocardial ischemia cannot be directly controlled. Myocardial ischemia is a severe cardiovascular stenosis, which causes ischemia and hypoxia in the heart itself. At this time, it is necessary to use olol drugs, diltiazem, mononitric acid, trimetazidine, nicordil , etc. These drugs are drugs for treating myocardial ischemia. Of course, it does not mean that all need to be used, it needs to vary from person to person.

3. Surgery treatment

For more severe myocardial ischemia, the drug can no longer be controlled. That is to say, the drug used to treat myocardial ischemia, but the patient still has myocardial ischemia. Then symmetry is needed to see if it is very severe stenosis. According to the contrast results, select stent or bypass surgery to solve myocardial ischemia.

3. Comprehensive evaluation of professionals

In short, myocardial ischemia must be diagnosed clearly first, and one cannot be confused about a person having myocardial ischemia. After diagnosis, further reasonable treatment should be given based on aspirin and statins based on specific age, heart rate, blood pressure, the nature of angina, etc. Of course, it is the first choice for drug treatment. If the drug cannot be controlled, surgical treatment is considered.