What factors lead to ischemic heart disease? Who in the Risk Group on the Development of the Disease of the CHA? Read in this article.
- Circumstances, the presence of which predisposes to the development of IBS. For the prevention of IBA, it is necessary to identify persons with a high risk of development and progression of the CHD for the subsequent reduction.
Content
Causes of Ischemia
The cause of the myocardial ischemia may be blockage of the vessel atherosclerotic blush, the process of formation of the thrombus or spasm of vessels. Gradually increasing the blockage of the vessel usually leads to chronic insufficiency of the blood supply to myocardium, which manifests itself as a stable angina stress. The formation of a thrombus or spasm of the vessel leads to acute insufficiency of the blood supply to myocardium, that is, to myocardial infarction.
In 95-97% of cases, atherosclerosis becomes the cause of the development of ischemic heart disease. The process of blocking the lumen of the vessel atherosclerotic plaques, if it develops in coronary arteries, causes insufficiency of the heart of the heart, that is, ischemia. However, the sake of fairness should be noted that atherosclerosis is not the only cause of IHD. Heart power failure can be caused, for example, by increasing the mass (hypertrophy) of the heart with hypertension, people in physically hard work or athletes. Some other reasons for the development of IBS are noted. Sometimes it is observed with an abnormal development of coronary arteries, with inflammatory diseases of the vessels, with infectious processes and T.D.
However, the percentage of CHA development cases for reasons not related to atherosclerotic processes is rather insignificant. In any case, myocardium ischemia is associated with a decrease in the diameter of the vessel, regardless of which caused this reasons.
Risk factors ischemic heart disease
The so-called IBS risk factors are of great importance in the development of IBS, which contribute to the emergence of IBS and create a threat to its further development. Conditionally, they can be divided into two large groups: changeable and unchangeable risk factors IBS.
The varying risk factors, the IBS include:
- Arterial hypertension (i.e. increased pressure),
- smoking,
- Excess body weight,
- Violations of carbohydrate metabolism (in particular diabetes),
- Lifeline lifestyle (hypodynamia),
- Eranny food,
- Increased in the blood of cholesterol and t.D.
The most dangerous in terms of possible development of IBS are arterial hypertension, diabetes, smoking and obesity.
To immutable risk factors, IHD, as is clear from the name, are those from which already, as they say, do not go anywhere. These are factors like
- age (older than 50–60 years),
- male gender,
- Humidated heredity, that is, cases of the disease of the CHR for the nearest relatives.
Socio-cultural risk factors IBS
In some sources, you can find another classification of the risk factors of the IBC, according to which they are divided into social and cultural (exogenous) and internal (endogenous) risk factors IBS. The socio-cultural risk factors of the CHD are called those of them that are due to a human living environment. Among these risk factors, IBS are the most common:
- Improper nutrition (excessive consumption of high-calorie food, saturated with fats and cholesterol),
- Hydodina,
- neuropsychiatric overvoltage,
- smoking,
- alcoholism,
- The risk of the occurrence of IBS in women will increase with long-term use of hormonal contraceptives.
Domestic risk factors
Internal risk factors are called those of them that are caused by the patient's body. Among them
- Hyperholesterolemia, that is, elevated cholesterol content,
- arterial hypertension,
- obesity,
- metabolic disease,
- cholelithiasis,
- Some features of personality and behavior,
- heredity,
- age and sexual factors.
Most of these risk factors are really dangerous. The risk of CHA with an elevated level of cholesterol is increased in 2.2—5.5 times, with hypertensive disease – at 1.5—6 times. It greatly affects the possibility of the development of IBS smoking it increases the risk of developing IBS at 1.5—6.5 times. High risk factors are also hypodynamia, excess body weight, carbohydrate impairment, primarily – diabetes. Increases the risk of developing IBS Permanent use of soft water, poor mineral salts (calcium, magnesium, chrome, lithium, zinc, vanadium), as it also provokes metabolic disorders in the body. A noticeable impact on the risk of developing IHDs are provided by such, at first glance, not related to blood supply to the hearts, as frequent stressful situations, mental overvoltage, mental overwork.
However, most often «Blame» Not stress by themselves, but their influence on the features of the person's personality. In medicine, two behavioral types of people are distinguished, they are called type A and type B. Type A includes people with an easy-made nervous system, most often choler temperament. Distinctive feature of this type – The desire for a competition with everyone and victory by anything. Such a person is inclined to overestimated ambitions, hastily, constantly dissatisfied with the achieved, abides in eternal voltage. Cardiologists claim that this type of personality is least able to adapt to the stressful situation, and people of this type of IBS develops much more often (in young age – 6.5 times) than in people of the so-called type b, balanced, phlegmatic, benevolent.
