Treatment of coronary heart disease, as well as its diagnosis suggestswork together cardiologists and patients on several fronts. First of all, care must be taken to change the style of life and the impact on coronary heart disease risk factors. In addition, the assigned medication, and used methods of endovascular and surgical treatment if necessary.
Changing lifestyle factors and neutralizationrisk include the mandatory cessation of smoking, cholesterol level correction (using diet or drugs), weight loss. Patients with coronary artery disease is recommended so-called "Mediterranean diet", which includes fruits, vegetables, light meals of poultry, fish and seafood. A very important point of non-drug treatment of coronary heart disease is to combat a sedentary lifestyle by increasing physical activity of the patient. Of course, a prerequisite for the successful treatment of coronary artery disease is a pre-treatment of essential hypertension or diabetes mellitus, coronary artery disease if the development takes place on the background of these diseases.
Drug treatment of coronary artery disease
Drug treatment of coronary artery disease is directed for the mostparts to eliminate symptoms of angina. The goals of treatment of coronary heart disease is defined as improving the quality of life of the patient, ie, a decrease in the severity of symptoms, preventing the development of such forms of ischemic heart disease such as myocardial infarction, unstable angina, sudden cardiac death, as well as an increase in the length of life of the patient.
Initial relief of angina attackperformed using nitroglycerin, possesses vasodilating action. Other pharmacological treatment of coronary heart disease cardiologist appoints only on the basis of an objective picture of the disease. Among the drugs that are used in the treatment of ischemic heart disease, drugs can be identified that contribute to a decrease in myocardial oxygen demand, to increase coronary etc. However, the main problem in treating coronary artery disease - free overlapped vessels - with medication practically achieved (in particular, sclerotic plaques virtually destroyed drugs). operation required in severe cases.
The classic tool in the treatment of coronary heart disease for many yearsconsidered aspirin, many cardiologists even recommend to use it preventively in small quantities (half / one-fourth of children's doses per day), but held the development of new drugs in recent years, are able to replace it in action, while having fewer side effects.
The current level of cardiology hasdiverse arsenal of drugs aimed at treatment of various forms of coronary artery disease. However, let us recall once again that any medication can be prescribed only cardiologist and use them only under medical supervision. Very many of the potent drugs used for self-medication, can cause patients with such severe side effects that will require immediate medical correction.
coronary artery bypass grafting
In more severe cases, the use of CADsurgical treatments. Quite good results indicates coronary artery bypass surgery, when the overlap of plaque or thrombus artery is replaced by "artificial blood vessels", which assumes carrying blood. However, the complexity of the surgery is sometimes overrides the effect of it. These operations are almost always carried out on heart stopped during extracorporeal circulation after bypass surgery patient has a long time to recover from extensive surgical trauma, which also makes it difficult to re-operation, if it is necessary. bypass method has a lot of contraindications, particularly in patients with weakened body, but the success of the surgery results are usually good.
The most promising method in the treatment of coronary artery diseasecurrently considered to endovascular surgery (radiologists, interventional radiology). The term "endovascular" means "inside the vessel" that accurately reflects the specificity of this treatment. It is a relatively young branch of medicine has gained a strong position in the treatment of coronary artery disease. All interventions are performed without incisions, through punctures in the skin, under the supervision of an X-ray, for the operation of local anesthesia is sufficient. All of these features are most important to those patients for whom, because of concomitant diseases, or for the overall organism weakened traditional surgery is contraindicated.
Balloon angioplasty and stenting
Among the methods of endovascular surgery for coronary artery disease oftencommonly used balloon angioplasty and stenting, which allow you to restore patency of the affected artery ischemia. When using balloon angioplasty to the vessel is introduced a special balloon, and then it swells, and "pushes" into the side of atherosclerotic plaques or blood clots. Thereafter, the artery is entered so-called stent - a frame made of tubular mesh "medical" stainless steel or biologically inert metal alloys, capable of self-expand and maintain the shape imparted to the vessel.
Studies show that aftersurgical or endovascular treatment of the risk of complications is low, but the positive effect of the treatment of resistant and durable. Subject to the advice of the cardiologist to patients regarding lifestyle and reduce the impact of cardiovascular risk factors, the probability of a full-fledged, not clouded by the threat of severe complications, the life of the patient is very high.