Treatment of coronary artery disease is based on the principle of improving the blood supply to the coronary arteries and reducing the oxygen consumption of the myocardium, as well as treating and preventing the development of atherosclerosis. Treatment for coronary heart disease includes medication, reperfusion therapy and heart transplantation.
One of the treatment methods of coronary heart disease: medication for coronary heart disease
Drug therapy is the basic treatment method of coronary heart disease, mainly according to the condition, under the guidance of physicians, single or combined application of drugs for treatment. Some drugs can also slow down or reduce the development of coronary arteriosclerosis, and actively control the risk factors that cause vascular sclerosis, which can achieve the effect of both treatment and prevention.
1, treatment of coronary heart disease of the angina attack drug therapy
When angina attack can take nitroglycerin or cardiac pain, in order to quickly expand the coronary arteries, increase the blood supply to the myocardium, improve the status of myocardial ischemia, and prevent myocardial necrosis due to ischemia. Nitroglycerin: take 1 tablet of nitroglycerin (0.3-0.5 mg per tablet) under the tongue after chewing, and the angina will be relieved after 1 to 2 minutes, if the pain is still not relieved after 5 minutes, take another tablet. Cardiac pain: It can treat and prevent angina pectoris attacks and anti-arrhythmic effects. The use of 1 to 2 tablets each time, 3 times a day after the symptoms are reduced to 1 tablet.
2.Treatment of coronary heart disease of remission drug treatment
The treatment of coronary heart disease in remission can be treated with the following drugs.
① Dilate coronary arteries with nitrate and herbal combination;
② Application of calcium antagonists, β-agonists to relieve coronary spasm and reduce myocardial oxygen consumption;
③ Apply ACEI to reduce cardiac afterload.
Treatment of coronary artery disease: reperfusion therapy
Reperfusion therapy is a method to recanalize the occluded coronary arteries, restore myocardial perfusion, save the ischemic myocardium and reduce the infarcted area, thus improving hemodynamics and restoring blood supply to the heart. There are three main methods.
1, reperfusion treatment of coronary heart disease of tethering therapy
It is to dissolve the thrombus through intravenous injection of thrombolytic drugs to achieve the purpose of recanalization of the infarct-related vessels.
2.Interventional therapy of reperfusion therapy for coronary heart disease
The basic principle of interventional therapy is to place the balloon catheter into the stenosed blood vessel through vascular puncture and expand the balloon under pressure outside the body to open the stenosed blood vessel wall, so that the diseased blood vessel can be restored to open. 1-2 stenoses and easy to put stents can choose interventional therapy. The Department of Cardiovascular Medicine of Henan Chest Hospital treats more than 2000 cases of coronary artery disease every year.
3.Coronary artery bypass graft surgery (CABG) for reperfusion treatment of coronary heart disease
The main principle of coronary artery bypass surgery is to use its own vessels (internal mammary artery, radial artery, right gastroretinal artery, saphenous vein) to establish a bypass (“bridge”) between the aorta and the diseased coronary artery so that the blood in the aorta is directly perfused across the narrowed part of the vessel to the distal end of the stenosis, thus restoring the blood supply to the heart muscle. The cardiovascular surgery department of Henan Chest Hospital carries out coronary artery bypass grafting to treat coronary heart disease, which is the leading level in China with 99% success rate. Coronary artery bypass grafting picture introduction, coronary artery bypass grafting related video
Coronary heart disease treatment method No.3: heart transplantation surgery
Heart transplantation should be performed as early as possible in the following cases: when coronary heart disease is advanced and drug treatment is ineffective; when surgical or interventional treatment is unable to correct, repair, or relieve; when there is recurrent heart failure or arrhythmia that is life-threatening and the risk of death is estimated to be extremely high within one year.
Through the above analysis of the treatment methods of coronary heart disease, I believe that we have understood the treatment methods of coronary heart disease. For the treatment of coronary heart disease, different treatment methods for coronary heart disease should be chosen according to the specific situation of the patient.