Asymptomatic myocardial ischemia is also known as occult coronary artery disease. Occult coronary artery disease can be treated with general, medication and surgery to control various risk factors and slow down the progression of atherosclerosis, thus reducing the occurrence of adverse cardiovascular events.
1. General treatment: light diet and strict abstinence from smoking and alcohol, in addition, patients should also actively cooperate with doctors to manage and control blood pressure, blood sugar and blood lipid levels.
2. Drug therapy: in the absence of contraindications, patients can use aspirin, clopidogrel and other drugs to prevent platelet aggregation as prescribed by the doctor; β-blockers, such as metoprolol, bisoprolol, etc., can also be used to reduce the myocardial oxygen consumption and reduce the number and duration of asymptomatic myocardial ischemia episodes. Statins should also be used to lower lipids, such as simvastatin and atorvastatin.
3. Surgical treatment: Those who are not well controlled by drugs should be evaluated by a doctor and treated with surgical treatments such as percutaneous coronary intervention and coronary artery bypass grafting.
Patients with occult coronary artery disease should consult the doctor in time and cooperate with the doctor to standardize the treatment so as not to delay the condition.