Myocardial ischemia with normal myocardial enzymes is most often considered angina pectoris, and treatment begins with risk factor modification (smoking, blood pressure, lipids), antiplatelet agents (aspirin and clopidogrel/pragrelene/tiglitazarol), beta-blockers, nitrates, and calcium channel blockers for symptom control.
Modification of reversible risk factors as much as possible, smoking cessation in smokers; aggressive control of blood pressure and blood glucose compliance, intensive lowering of total cholesterol and LDL cholesterol (through dietary control, with statin therapy) can slow the progression of coronary artery disease, reverse some lesions, and improve the function of coronary artery endothelium.
Drug therapy: mainly using aspirin enteric-coated tablets anti-platelet aggregation to prevent thrombosis, atorvastatin calcium or resuvastatin calcium anti-atherosclerosis to stabilize plaque therapy, in addition to vasodilator drugs, such as nitroglycerin to dilate coronary arteries, metoprolol to reduce myocardial oxygen consumption therapy.
Patients with myocardial ischemia should actively go to the hospital for examination to clarify the cause of the disease, assess the condition and cooperate with the physician for treatment.