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Question 6. ISCHEMIC HEART DISEASE (IHD)

As a result of insufficient blood flow in the cells of the heart muscle are disturbed

metabolic processes, energy production, contractile function decreases

myocardium in the area of ​​ischemia, pain appears (the most striking clinical manifestation of myocardial ischemia). The main pathogenetic mechanism of anginal pain is excess

myocardial oxygen requirements over its delivery capabilities. Most often

delivery is limited due to narrowing of the lumen of the arteries that feed the cardiac

muscle, atherosclerotic plaques, or due to spasm of the arteries.

Hypertensive crisis is the result of a sharp violation of the mechanisms of regulation of blood pressure, which occurs against the background of hypertension and leads to a strong increase in blood pressure and disorders of blood circulation in the internal organs. Clinic and Diagnostics

During a hypertensive crisis, symptoms of impaired blood supply to the brain and heart are observed:

Blood pressure increase above 140/90 (up to 260/120)

Fatigability

Insomnia

Headaches, especially in the back of the head

Dyspnea

Chest pain

Neurological disorders

Hypertensive crisis is a danger to patients with pre-existing heart and brain diseases.

Treatment

For stopping a hypertensive crisis, they use capoten or corinfar, with a systolic blood pressure of more than 200 mm RT.
Art. - clonidine sublingual. If in this case the crisis cannot be stopped, they switch to intravenous administration of drugs (magnesium sulfate, enalapril maleate, dibazole, clonidine). The help of households is a good auxiliary technique, since the expansion of peripheral vessels leads to unloading of the heart and facilitating the work of central vessels:

• put mustard plasters on eggs;

• bring water at a temperature of 30–40 ° C so that the patient can take warm foot or hand baths for 10–15 minutes.

the patient must be put to bed, giving him a comfortable half-sitting position with the help of pillows. The patient should immediately be given an extraordinary dose of the medicine that he usually takes to lower his blood pressure. The relief of hypertensive crisis involves a decrease in pressure within 1 hour by 25-30 mm RT. Art. compared to the original. In addition, in the event of a sharp headache, you can give the patient one tablet of a diuretic familiar to him, if the patient uses drugs of this action. With the appearance of severe chest pain, you can give the patient a tablet of nitroglycerin under the tongue.

Depending on concomitant diseases, therapy for hypertensive crisis may differ, this condition is acute and requires urgent medical attention.
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Question 6. ISCHEMIC HEART DISEASE (IHD)

  1. Heart diseases. Coronary heart disease (CHD). Reperfusion syndrome. Hypertensive heart disease. Acute and chronic pulmonary heart.
    1. IHD is 1. productive myocarditis 2. myocardial fatty degeneration 3. right ventricular failure 4. absolute coronary circulation failure 5. relative coronary insufficiency 2. Forms of acute coronary heart disease 1. myocardial infarction 2. cardiomyopathy 3. angina 4. exudative myocarditis 5 sudden coronary death 3. With angina pectoris in cardiomyocytes
  2. Coronary heart disease (CHD)
    Coronary heart disease (CHD) is a pathological condition caused by a violation of the correspondence between the need for blood supply to the heart and its real provision. Statistics. In the population, the pathological lesion of men is 2 times higher than that of women. The disease occurs in young people, but the peak of pain occurs in middle and older age groups, and with age, the number
  3. Coronary heart disease (CHD)
    Reasons leading to the onset and development of coronary heart disease Coronary heart disease (CHD) is a collective concept that includes a number of conditions that develop with coronary circulation insufficiency, i.e., with a violation of the blood supply to the working heart muscle. Most often in the practice of emergency care, one has to deal with various angina pectoris and myocardial infarction. Reasons that
  4. Coronary heart disease (CHD)
    365. A WOMAN IS 62 YEARS OLD FOR 2 MONTHS; PERIODIC BACKGROUND PAINS AT DIFFERENT DAYS OF THE DAY OF 5-10 MINUTES. PHYSICAL EXAMINATION AND ECG WITHOUT FEATURES. NEXT STAGE OF THE EXAMINATION 1) chest x-ray 2) echocardiography 3) stress ECG test 75 4) FGS 5) 24-hour heart rate monitoring 366. DOES NOT APPROPRIATE Angina 1)
  5. Coronary heart disease (CHD)
    365-3 371-2377-4383-4389-3366-3372-3378-4384-3390-5367-4373-2379-3385-2391-1368-2374- 3 380-5 386-4 392-2 369-1375-4381-3387-2393-4370-5376-1382-2388-4394-
  6. Angina pectoris (angina pectoris, coronary heart disease (CHD))
    Causes With a typical angina pectoris, short-term attacks are observed in the morning (when a person is in a hurry to work, in a hurry, worried). In cold windy weather, seizures develop after a heavy meal, at the time of physical effort or soon after a lot of emotional stress, negative psychological effects or other worries. Symptoms Pain, fear, weakness, appearance
  7. Coronary artery disease. Classification of Coronary Heart Disease
    Coronary heart disease (CHD) is an acute or chronic process in the myocardium due to a decrease or disruption of blood supply to the myocardium as a result of an ischemic process in the coronary artery system, imbalance between the coronary circulation and metabolic needs of the myocardium. Heart: a - front view of the heart: 1 - right ventricle; 2 - the left ventricle;
  8. HEART DISEASES. CORONARY ARTERY DISEASE. HYPERTENSIVE HEART DISEASE. Myocardial hypertrophy. ACUTE AND CHRONIC PULMONARY HEART
    HEART DISEASES. CORONARY ARTERY DISEASE. HYPERTENSIVE HEART DISEASE. Myocardial hypertrophy. ACUTE AND CHRONIC PULMONARY
  9. Coronary artery disease
    Coronary heart disease - a disease caused by absolute or relative insufficiency of coronary blood supply. CHD - coronary heart disease. As an independent disease, it was singled out in a separate form by WHO experts in 1965. IHD is a cardiac form of atherosclerosis or hypertension. There are acute forms of coronary heart disease (myocardial infarction) and chronic. IN
  10. Coronary heart disease
    The term "coronary heart disease" is a group concept. ICD code: 120-125 120 Angina pectoris (angina pectoris) 120.0 Unstable angina Angina pectoris • increasing • tension, first occurring • progressive tension 120.1 Angina pectoris with documented spasm Angina pectoris • angiospastic • Prinzmetal • caused by spasm • variant
  11. Coronary artery disease
    "Coronary heart disease" (CHD) is a group designation of pathological phenomena arising from myocardial ischemia, in other words, the mismatch between the level of oxygenated blood supply to the level of demand from the heart muscle. Inadequate blood supply is understood to mean insufficient intake of not only oxygen into the myocardium (leads to hypoxia, anoxia), but also
  12. Coronary artery disease
    Coronary heart disease (CHD) is a group of diseases that arise as a result of myocardial ischemia caused by relative or absolute coronary insufficiency. Since this disease is based on atherosclerotic narrowing of the lumen of the coronary arteries, noted in most patients, the term "coronary heart disease" is often used as a synonym.
  13. Coronary artery disease
    IHD is a group of diseases caused by absolute or relative insufficiency of coronary circulation. • IHD develops with atherosclerosis of the coronary arteries, i.e. represents a heart form of atherosclerosis and hypertension. • Isolated as an independent nosological group (1965) due to its great social significance. • Atherosclerosis and hypertension
  14. Coronary artery disease
    The main clinical syndromes of coronary heart disease • ???? Angina pectoris. • ???? Unstable angina pectoris. • ???? Acute myocardial infarction. A painless form of myocardial ischemia is more common in patients with diabetes mellitus. Functionally diagnostic techniques used for coronary heart disease ECG Between angina attacks ECG can be normal. However, 80%
  15. Coronary artery disease
    ISCHEMIC HEART DISEASE (CHD) is an acute or chronic myocardial damage due to a decrease or cessation of oxygen delivery to the heart muscle, resulting from pathological processes in the coronary artery system [WHO, 1979]. Disruption of myocardial oxygen supply in coronary heart disease is due to a mismatch between coronary blood flow and cardiac metabolic needs
  16. CORONARY ARTERY DISEASE. CEREBROVASCULAR DISEASES
    Coronary heart disease (CHD) and cerebrovascular diseases are the main causes of death in patients with cardiovascular disease in economically developed
  17. Coronary artery disease
    Atherosclerosis comes first in the etiology of coronary heart disease, although myocardial hypertrophy with cardiomyopathy and aortic defect can also lead to ischemic attacks. CHD is always a mismatch between the transport of oxygen to the myocardium (TmO2) and its consumption (MVO2). It should be remembered that the blood supply to the myocardium is due to two coronary arteries (right and left) and
  18. CORONARY ARTERY DISEASE
    Currently, there are many definitions of coronary heart disease, however, their essence boils down to the following: in this condition, there is a pronounced mismatch between the flow of oxygen and metabolic substrates (nutrients) through the coronary arteries to the myocardium and their need. That is, conditions are created for ischemic heart muscle. Currently
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